Provider Demographics
NPI:1285462770
Name:POINTE COUPEE FIRE PROTECTION DISTRICT 2
Entity type:Organization
Organization Name:POINTE COUPEE FIRE PROTECTION DISTRICT 2
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LIEUTENANT MEDICAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:HEREDIA
Authorized Official - Suffix:
Authorized Official - Credentials:FF-PARAMEDIC, CP-C
Authorized Official - Phone:225-916-4254
Mailing Address - Street 1:151 SANSONE ST
Mailing Address - Street 2:
Mailing Address - City:MORGANZA
Mailing Address - State:LA
Mailing Address - Zip Code:70759
Mailing Address - Country:US
Mailing Address - Phone:225-452-0560
Mailing Address - Fax:
Practice Address - Street 1:151 SANSONE ST
Practice Address - Street 2:
Practice Address - City:MORGANZA
Practice Address - State:LA
Practice Address - Zip Code:70759
Practice Address - Country:US
Practice Address - Phone:225-452-0560
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-25
Last Update Date:2024-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, ParamedicGroup - Multi-Specialty
No146D00000XEmergency Medical Service ProvidersPersonal Emergency Response AttendantGroup - Multi-Specialty
No146M00000XEmergency Medical Service ProvidersEmergency Medical Technician, IntermediateGroup - Multi-Specialty
No146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, BasicGroup - Multi-Specialty
No163WE0003XNursing Service ProvidersRegistered NurseEmergencyGroup - Multi-Specialty
No171400000XOther Service ProvidersHealth & Wellness CoachGroup - Multi-Specialty
No172A00000XOther Service ProvidersDriverGroup - Multi-Specialty
No174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty
No251B00000XAgenciesCase Management
No251K00000XAgenciesPublic Health or Welfare
No305S00000XManaged Care OrganizationsPoint of Service
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No3416L0300XTransportation ServicesAmbulanceLand Transport
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)