# COASTAL MEDICAL TRANSPRT LLC

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

## Provider details

- **NPI number:** 1861781197
- **Authorized official:** MR. RONALD SCOTT TOMPKINS (OWNER/MANAGER)
- **Authorized official phone:** (843) 504-7450

## Contact information

- **Practice address:** 6906 HOLLYBROOK CIR, FLORENCE, SC 29505-9291
- **Practice address phone:** (843) 347-2928
- **Practice address fax:** (843) 347-2928
- **Mailing address:** 1744 BRIDGEWATER DR, CONWAY, SC 29526-8054
- **Mailing address phone:** (843) 347-2928
- **Mailing address fax:** (843) 347-2928

## Taxonomy

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

## Other

- **Enumeration date:** 04/07/2011
- **Last updated:** 04/07/2011