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Organization
MEDITAM AMBULANCE SERVICE INC
Active
Organization
MEDITAM AMBULANCE SERVICE INC
Active
Other names
Parabasic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT A PIKAART (OWNER)
(843) 236-6001
Entity
Organization
Contact information
Practice address
3926 WESLEY ST, SUITE 103, MYRTLE BEACH, SC 29579-7332
(843) 236-6001
(843) 236-6002
Mailing address
3926 WESLEY ST, SUITE 103, MYRTLE BEACH, SC 29579-7332
(843) 236-6001
(843) 236-6002
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
NULL
343800000X
Secured Medical Transport (VAN)
—
NULL
343900000X
Non-emergency Medical Transport (VAN)
—
NULL
344600000X
Taxi
—
NULL
Other
Enumeration date
12/10/2013
Last updated
12/10/2013
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