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 |