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Organization
TRANSMED, LLC
Active
Organization
TRANSMED, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW T ELLIS (AR MGR.)
(866) 343-7153
Entity
Organization
Contact information
Practice address
201 DAYTONA ST, CONWAY, SC 29526-8386
(866) 343-7153
(757) 787-9436
Mailing address
PO BOX 538335, ATLANTA, GA 30353-8335
(866) 343-7153
(757) 787-9436
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
225
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4203898
NC MEDICAID
NC
01
—
590014290
RAILROAD MEDICARE
—
05
—
AB0181
—
SC
Enumeration date
05/24/2006
Last updated
12/06/2012
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