NPI 1235394693

Caddo Parish Fire District #5

Organisation Land Ambulance Shreveport, LA

Practice location

Address: 1675 Leonard Rd, Shreveport, LA 71115-8583
Phone: (318) 797-4111
Mailing address: PO Box 52985, Shreveport, LA 71135-2985

Authorised official

Name: Grayson S Boucher
Title: Fire Chief
Phone: (318) 797-4111

Registered specialties

Land Ambulance Primary

Transportation Services Taxonomy 3416L0300X

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Registry record

NPI: 1235394693
Entity type: Organization
NPI issued: 25 Jul 2008
Record last updated: 25 Jul 2008

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.