# WILSON MEDICAL TRANSPORT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** WILSON MEDICAL TRANSPORT SERVICE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063673655
- **Authorized official:** DON E WILSON NREMTP (DIRECTOR)
- **Authorized official phone:** (843) 325-5590

## Contact information

- **Practice address:** 1943 BOYD RD, SCRANTON, SC 29591
- **Practice address phone:** (877) 760-4968
- **Practice address fax:** (843) 407-7297
- **Mailing address:** PO BOX 414, SCRANTON, SC 29591-0414
- **Mailing address phone:** (877) 760-4968
- **Mailing address fax:** (843) 407-7297

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 056 | SC | — |
| 3416L0300X | Land Ambulance | 056 | SC | Yes |
| 343900000X | Non-emergency Medical Transport (VAN) | 056 | SC | — |

## Other

- **Enumeration date:** 06/17/2008
- **Last updated:** 09/14/2012