Individual provider · Type 1 NPI

Charetta L. Clark

Non-emergency Medical Transport (VAN) · Shreveport, LA

NPI number 1811645559 Active

Practice location

7125 Suntan St
Shreveport, LA 71108-4927

Call (318) 465-6614 Map

Specialties and licenses

TaxonomyCodeLicense
Non-emergency Medical Transport (VAN) Primary 343900000X007325154 (LA)

Non-emergency Medical Transport (VAN): A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.

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About NPI 1811645559

Charetta L. Clark's National Provider Identifier is 1811645559, issued on Mar 11, 2022. The primary taxonomy on file is Non-emergency Medical Transport (VAN) (343900000X), and the practice location is in Shreveport, LA. The record was last updated on Mar 11, 2022.