# MEDSTAR MEDICAL TRANSPORT

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

## Provider details

- **NPI number:** 1821460502
- **Authorized official:** MRS. MARY BLANCHE JONES (OWNER)
- **Authorized official phone:** (843) 669-7827

## Contact information

- **Practice address:** 1322 BROUGHTON BLVD, FLORENCE, SC 29501-6979
- **Practice address phone:** (843) 669-7827
- **Practice address fax:** (843) 669-3279
- **Mailing address:** 1322 BROUGHTON BLVD, FLORENCE, SC 29501-6979
- **Mailing address phone:** (843) 669-7827
- **Mailing address fax:** (843) 669-3279

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 201199 | SC | Yes |

## Other

- **Enumeration date:** 10/21/2015
- **Last updated:** 05/25/2016