# MEDITAM AMBULANCE SERVICE INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Parabasic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457782906
- **Authorized official:** MR. ROBERT A PIKAART (OWNER)
- **Authorized official phone:** (843) 236-6001

## Contact information

- **Practice address:** 3926 WESLEY ST, SUITE 103, MYRTLE BEACH, SC 29579-7332
- **Practice address phone:** (843) 236-6001
- **Practice address fax:** (843) 236-6002
- **Mailing address:** 3926 WESLEY ST, SUITE 103, MYRTLE BEACH, SC 29579-7332
- **Mailing address phone:** (843) 236-6001
- **Mailing address fax:** (843) 236-6002

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | — | NULL | Yes |
| 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