MEDICARE: WEST CARROLL PARISH AMBULANCE SERVICE DISTRICT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416L0300X	Land Ambulance	9110065	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1689671604
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WEST CARROLL PARISH AMBULANCE SERVICE DISTRICT

Provider Business Mailing Address
First Line	:	PO BOX 684
Second Line	:
City	:	OAK GROVE
State	:	LA
Zip	:	71263-0684
Country	:	US
Telephone Number	:	318-428-8979
Fax Number	:	318-428-7777

Provider Business Practice Location Address
First Line	:	710 SETTOON ST
Second Line	:
City	:	OAK GROVE
State	:	LA
Zip	:	71263-9707
Country	:	US
Telephone Number	:	318-428-8979
Fax Number	:	318-428-7777

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MR. DENNIS P. SEAMANS
Credential	:	EMT-P
Telephone Number	:	318-428-8979

Provider Enumeration Date	:	07/05/2005
Last Update Date	:	08/22/2020

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Directions to “WEST CARROLL PARISH AMBULANCE SERVICE DISTRICT ” Practice Location

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