MEDICARE: CENTRAL LOUISIANA MEDICAL TRANSPORTATION INC.

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	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1891285847
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTRAL LOUISIANA MEDICAL TRANSPORTATION INC.

Provider Business Mailing Address
First Line	:	2208 BONAVENTURE CT
Second Line	:
City	:	ALEXANDRIA
State	:	LA
Zip	:	71301-3374
Country	:	US
Telephone Number	:	318-230-7072
Fax Number	:

Provider Business Practice Location Address
First Line	:	2208 BONAVENTURE CT
Second Line	:
City	:	ALEXANDRIA
State	:	LA
Zip	:	71301-3374
Country	:	US
Telephone Number	:	318-447-4758
Fax Number	:	318-963-8799

Authorized Official
Title or Position	:	GM
Name	:	MR. BELAL M MOHAMMED
Credential	:
Telephone Number	:	318-230-7072

Provider Enumeration Date	:	05/15/2018
Last Update Date	:	06/18/2026

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