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JACKSON PARISH AMBULANCE SERVICE DISTRICT
NPI 1124021092
Ambulance - Land Transport in Jonesboro, LA

Active since May 24, 2005CLIA 19D2084602 · Waiver
115 WATTS ST, JONESBORO, LA 71251(318) 259-2891(318) 259-2099 Get Directions Write a Review

NPPES record last updated: August 30, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jackson Parish Ambulance Service District NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKSON PARISH AMBULANCE SERVICE DISTRICT (NPI 1124021092) is a healthcare organization registered as a land transport in Jonesboro, Louisiana and active in the NPI registry since May 2005. The organization holds a CLIA Waiver certificate valid through September 25, 2026 and lists Tracy Brandon Wold, Ems Director, as its authorized official.

NPPES Registry Identity

NPI1124021092
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameJACKSON PARISH AMBULANCE SERVICE DISTRICT
Location Address115 WATTS STJonesboro, LA 71251-2053
Mailing Address115 Watts StJonesboro, LA 71251-2053 · (318) 259-2891 · Fax (318) 259-2099
Phone(318) 259-2891
Fax(318) 259-2099
Organization SubpartNo
Authorized OfficialTracy Brandon WoldEms Director · (318) 259-2877
Enumeration DateMay 24, 2005
Last NPPES UpdateAugust 30, 2010
✔ NPI 1124021092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
License✔ Licensed in LA · 9110021
115 WATTS ST, Jonesboro, LA 71251
Open in Google Maps ↗

Other Identifiers 4

Medicare PIN47145
OtherF4632LA · Blue Cross Blue Shield
OtherP00634556LA · Railroad Medicare (palmetto Gba)
Medicaid1550426LA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 19D2084602

Jackson Parish Ambulance Service District · Jonesboro, LA
Active · expires Sep 25, 2026
CLIA Number19D2084602
Laboratory TypeAmbulance
Certificate Effective DateSeptember 26, 2024
Certificate Expiration DateSeptember 25, 2026
Laboratory DirectorAaron K. Johnson Jr
Laboratory Phone(318) 259-2891
Laboratory LocationJackson Parish Ambulance Service District115 Watts Street, Jonesboro, LA 71251
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ground mileage, per statute mile A0425
Ground mileage per statute mile is a method of calculating the cost of transportation for medical services. It is used when a patient needs to be transported by ground ambulance. The cost is calculated per mile, from the pick-up location to the medical facility.
38,011 services345 patients
Ambulance service, basic life support, non-emergency transport, (bls) A0428
Basic Life Support (BLS) non-emergency ambulance service provides safe transportation for patients who don't need immediate medical attention. It includes monitoring vital signs, ensuring comfort, and administering basic care during transport.
889 services115 patients
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) A0427
Ambulance Service, Advanced Life Support, Level 1 (ALS 1 - Emergency) is a critical care transport service for emergency situations. It includes a team of healthcare professionals equipped with advanced skills and tools to manage life-threatening conditions during transport.
447 services271 patients
Ambulance service, basic life support, emergency transport (bls-emergency) A0429
Ambulance service with basic life support (BLS-Emergency) provides immediate transport for patients in critical situations. Medical professionals on board deliver essential care like CPR, wound dressing, and oxygen therapy to stabilize patients during the journey.
119 services91 patients
Advanced life support, level 2 (als 2) A0433
Advanced Life Support Level 2 (ALS 2) is a medical service provided during emergencies. It involves advanced procedures like defibrillation, medication administration or endotracheal intubation by trained professionals to stabilize critical patients.
26 services24 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jackson Parish Ambulance Service District's NPI number?

The NPI number for Jackson Parish Ambulance Service District is 1124021092. It was assigned to this organization in the NPPES registry on May 24, 2005.

Where is Jackson Parish Ambulance Service District located?

Jackson Parish Ambulance Service District is located at 115 Watts St, Jonesboro, LA 71251. The listed phone number is (318) 259-2891.

What is Jackson Parish Ambulance Service District's specialty?

The primary specialty registered for this NPI is Ambulance, specializing in Land Transport, with taxonomy code 3416L0300X.

Does Jackson Parish Ambulance Service District hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D2084602) is associated with this NPI, valid through September 25, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Jackson Parish Ambulance Service District was last updated on August 30, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.