NPI 1194124206

Fire Prevention Dist No 12 Parish of St. Tammany

Organisation Land Ambulance Covington, LA

Practice location

Address: 19375 Highway 36, Covington, LA 70433-8728
Phone: (985) 892-5161
Fax: (985) 249-5734

Authorised official

Name: Frank Jordan
Title: EMS Director
Phone: (985) 892-5161

Registered specialties

Land Ambulance Primary

Transportation Services Taxonomy 3416L0300X Licence 2203782070 (LA)

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Registry record

NPI: 1194124206
Entity type: Organization
NPI issued: 14 Aug 2014
Record last updated: 12 Jan 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.