CHRISTUS HEALTH NORTHERN LA (NPI# 1912178435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912178435 |
| Entity Type | Organization |
| Organization Name | CHRISTUS HEALTH NORTHERN LA |
| Other Organization Name | CHRISTUS SCHUMPERT HEALTH SYSTEM AMBULANCE |
| Practice Address |
1 Saint Mary Pl Shreveport LA 71101-4343 |
| Practice Telephone | 3186814500 |
| Practice Fax Number | 3186817402 |
| Mailing Telephone | 3186814500 |
| Mailing Fax Number | 3186817402 |
| Enumeration Date | 2008-03-13 |
| Last Update Date | 2008-03-13 |
| Authorized Official Name | DR. CHARLES PAINE (CEO) |
| Authorized Official Telephone | 3186814500 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | CHRISTUS HEALTH NORTHERN LA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 341600000X | Ambulance | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1744379 | 05 |
| Other Name | Type Code |
|---|---|
| CHRISTUS Schumpert Health System Ambulance | Other Name - Individual/Organization |
| Street Address |
1 SAINT MARY PL |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71101-4343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447254198 | Walter E Bounds | Emergency Medicine | 1 Saint Mary Pl, Shreveport, LA 71101-4343 | 2005-06-10 |
| 1083085005 | Valient Emergency Physicians, LLC | Physician Assistant | 1 Saint Mary Pl, Shreveport, LA 71101-4343 | 2015-10-16 |
| 1356712509 | Sahara Emergency Physicians, LLC | Physician Assistant | 1 Saint Mary Pl, Shreveport, LA 71101-4343 | 2015-10-14 |
| 1164807723 | Amy Hollis Norcross | Nurse Practitioner | 1 Saint Mary Pl, Shreveport, LA 71101-4343 | 2015-07-24 |
| 1114270261 | Ghassan Fouad Hamdan | Pharmacist | 1 Saint Mary Pl, Shreveport, LA 71101-4343 | 2012-10-25 |
| 1730466053 | Michelle Moore Haynie | Nurse Practitioner | 1 Saint Mary Pl, Shreveport, LA 71101-4343 | 2011-11-15 |
| 1104142769 | Laura Christine Brooks | Nurse Practitioner | 1 Saint Mary Pl, Nicu, Shreveport, LA 71101-4343 | 2010-04-07 |
| 1154656494 | Paul Wesley Chism | Nurse Practitioner | 1 Saint Mary Pl, Shreveport, LA 71101-4343 | 2009-10-05 |
| 1902030273 | Shannon Leonnie Youngblood | Nurse Anesthetist, Certified Registered | 1 Saint Mary Pl, Pfs-pro Billing, Shreveport, LA 71101-4343 | 2009-05-14 |
| 1467602755 | Childrens Acute Care Inc | Pediatrics | 1 Saint Mary Pl, Box 40, Shreveport, LA 71101-4343 | 2008-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255988630 | Renee Jewitt | Case Manager/Care Coordinator | 1513 Line Avenue, Suite 225, Shreveport, LA 71101 | 2019-08-21 |
| 1942770094 | Bessie Larry | Case Manager/Care Coordinator | 1513 Line Av, 222, Shreveport, LA 71101 | 2018-12-03 |
| 1750875944 | Jarvis Decarleonne Larry | Community Health Worker | 1513 Line Ave # 222, Shreveport, LA 71101 | 2018-06-20 |
| 1871083485 | Kimberly B. Mcclelland, Lcsw | Counselor | 820 Jordan St. Ste 510w, Shreveport, LA 71101 | 2018-05-18 |
| 1982106456 | Hudson Amc LLC | Internal Medicine | 1800 Irving Place, Shreveport, LA 71101 | 2018-03-01 |
| 1528572955 | Spencer Ron Floyd | Counselor | 1717 Marshall Street, Shreveport, LA 71101 | 2017-11-21 |
| 1578088076 | Brittany Morris | Case Manager/Care Coordinator | 1835 Spring Street Annex Building, Shreveport, LA 71101 | 2017-08-07 |
| 1275058794 | Diane Williams | Case Manager/Care Coordinator | 217 Jones St Apt 510, Shreveport, LA 71101 | 2017-08-04 |
| 1386195972 | Jakeya Woodbury | Counselor | 453 Stoner Ave, Shreveport, LA 71101 | 2016-10-18 |
| 1922459643 | Arlene Huling | Counselor | 449 Egan Street, Shreveport, LA 71101 | 2016-06-23 |
| Find all providers in zip 71101 | ||||
| Taxonomy Code | 341600000X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). |
| Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 37. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396861415 | City of Shreveport | Ambulance | 505 Travis St, Shreveport, LA 71101-3042 | 2007-03-21 |
| 1245218452 | Balentine Ambulance Service Inc. | Ambulance | 3516 Mansfield Rd, Shreveport, LA 71103-4400 | 2006-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093324063 | Welift Rideshare | Ambulance | 1122 Teche St, New Orleans, LA 70114-5738 | 2020-07-27 |
| 1821476342 | Bayou Cane Fire Protection District | Ambulance | 6166 W Main St, Houma, LA 70360-1791 | 2015-05-17 |
| 1912385436 | Montegut Volunteer Fire Department | Ambulance | 1105 Highway 55, Montegut, LA 70377-3203 | 2015-05-17 |
| 1659709111 | Lifeguard Ambulance Service of Louisiana LLC | Ambulance | 955 Central Ave, Metairie, LA 70001-5745 | 2013-10-21 |
| 1518159748 | Advance Care Ems LLC | Ambulance | 1906 Washington St, Franklinton, LA 70438-2135 | 2007-08-12 |
| 1912123829 | Caddo Parish Fire District No. 4 | Ambulance | 8240 Colquitt Rd, Keithville, LA 71047-7009 | 2007-04-18 |
| 1598886939 | City of Gonzales Fire Rescue Department | Ambulance | 724 West Orice Roth Rd., Gonzales, LA 70737-4141 | 2007-04-03 |
| 1083758668 | Town of Vidalia | Ambulance | 204 Vernon Stevens Blvd, Vidalia, LA 71373-5001 | 2007-02-16 |
| 1851445811 | Lifeguard Transportation Service | Ambulance | 1165 Robert Blvd, Slidell, LA 70458-2013 | 2007-01-23 |
| 1407906563 | Advanced Emergency Medical Services Inc. | Ambulance | 900 Shreveport Rd, Minden, LA 71055-3832 | 2007-01-11 |
| Find all providers with the same taxonomy | ||||
| City | SHREVEPORT |
| Zip Code | 71101 |
Please comment or provide details below to improve the information on CHRISTUS HEALTH NORTHERN LA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.