Provider Demographics
NPI:1316943566
Name:ACADIAN AMBULANCE SERVICE, INC.
Entity type:Organization
Organization Name:ACADIAN AMBULANCE SERVICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER OF CONTRACTS
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:LEONARDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-291-4039
Mailing Address - Street 1:PO BOX 92970
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70509-2970
Mailing Address - Country:US
Mailing Address - Phone:800-259-3333
Mailing Address - Fax:337-291-4252
Practice Address - Street 1:130 E KALISTE SALOOM RD
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508-8308
Practice Address - Country:US
Practice Address - Phone:800-259-3333
Practice Address - Fax:337-291-4400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-22
Last Update Date:2020-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA91100033416L0300X
LA91100023416A0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416A0800XTransportation ServicesAmbulanceAir Transport
No3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00553391Medicaid
LAH0247OtherBLUE CROSS AIR/FIXED WING
LA00063OtherBLUE CROSS GROUND
LA1118214Medicaid
TX182720601Medicaid
LAH0247OtherBLUE CROSS AIR/FIXED WING
LA47208Medicare PIN
TXAMB529Medicare PIN
LA1118214Medicaid