Provider Demographics
NPI: | 1992699177 |
---|---|
Name: | ACADIAN AMBULANCE SERVICE OF ALABAMA, LLC |
Entity type: | Organization |
Organization Name: | ACADIAN AMBULANCE SERVICE OF ALABAMA, LLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | CHIEF FINANCIAL OFFICER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | DANA |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | NEUCERE |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 337-291-4186 |
Mailing Address - Street 1: | PO BOX 98000 |
Mailing Address - Street 2: | |
Mailing Address - City: | LAFAYETTE |
Mailing Address - State: | LA |
Mailing Address - Zip Code: | 70509-8000 |
Mailing Address - Country: | US |
Mailing Address - Phone: | |
Mailing Address - Fax: | |
Practice Address - Street 1: | 11 N WATER ST STE 18250 |
Practice Address - Street 2: | |
Practice Address - City: | MOBILE |
Practice Address - State: | AL |
Practice Address - Zip Code: | 36602-3809 |
Practice Address - Country: | US |
Practice Address - Phone: | 337-371-3881 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | Yes |
Parent Organization LBN: | ACADIAN AMBULANCE SERVICE, INC. |
Parent Organization TIN: | <UNAVAIL> |
Enumeration Date: | 2025-06-04 |
Last Update Date: | 2025-06-04 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 341600000X | Transportation Services | Ambulance | |
No | 3416L0300X | Transportation Services | Ambulance | Land Transport |