# AMERICAN AMBULANCE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518295450
- **Authorized official:** MS. VANESSA J LYBRAND (TREASURER)
- **Authorized official phone:** (803) 754-1418

## Contact information

- **Practice address:** 4507 MAIN ST, COLUMBIA, SC 29203-5973
- **Practice address phone:** (803) 754-1418
- **Practice address fax:** (803) 691-8934
- **Mailing address:** 4507 MAIN ST, COLUMBIA, SC 29203-5973
- **Mailing address phone:** (803) 754-1418
- **Mailing address fax:** (803) 691-8934

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 20093924338381 | SC | Yes |

## Other

- **Enumeration date:** 12/04/2009
- **Last updated:** 02/08/2010