Provider Demographics
NPI: | 1053814145 |
---|---|
Name: | ALL SAINTS MEDICAL TRANSPORTATION |
Entity type: | Organization |
Organization Name: | ALL SAINTS MEDICAL TRANSPORTATION |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | OWNER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | VIVIAN |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | HIDALGO |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 504-202-7500 |
Mailing Address - Street 1: | 321 OCELOT DR |
Mailing Address - Street 2: | |
Mailing Address - City: | ARABI |
Mailing Address - State: | LA |
Mailing Address - Zip Code: | 70032-2149 |
Mailing Address - Country: | US |
Mailing Address - Phone: | |
Mailing Address - Fax: | |
Practice Address - Street 1: | 321 OCELOT DR |
Practice Address - Street 2: | |
Practice Address - City: | ARABI |
Practice Address - State: | LA |
Practice Address - Zip Code: | 70032-2149 |
Practice Address - Country: | US |
Practice Address - Phone: | 504-202-7500 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2018-03-14 |
Last Update Date: | 2018-08-17 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 343900000X | Transportation Services | Non-emergency Medical Transport (VAN) |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
LA | ========= | Other | NEMT |
LA | ========= | Medicaid | |
AL | ========= | Medicaid |