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Organization
HEART STAR MEDICAL TRANSPORTATION
Active
Organization
HEART STAR MEDICAL TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AL WATSON (MGR)
(803) 468-4194
Entity
Organization
Contact information
Practice address
5 SOUTH CHURCH STREET, SUMMERTON, SC 29148-0143
(803) 485-5203
(803) 485-5202
Mailing address
P.O. BOX 143, 5 SOUTH CHURCH STREET, SUMMERTON, SC 29148-0143
(803) 485-5203
(803) 485-5202
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
237
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AB0261
—
SC
Enumeration date
09/07/2007
Last updated
02/08/2011
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