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Organization
MEDSHORE AMBULANCE SERVICE, LLC
Active
Organization
MEDSHORE AMBULANCE SERVICE, LLC
Active
Other names
Guardian Ambulance, Port City Ambulance, Medshore Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT A JEWELL (CHIEF REVENUE INTEGRATION OFFICER)
(844) 597-4911
Entity
Organization
Contact information
Practice address
1011 ELLA ST, ANDERSON, SC 29621-4807
(864) 260-4600
(864) 260-4575
Mailing address
PO BOX 650458, DALLAS, TX 75265-0458
(844) 597-4911
(866) 687-2796
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
224
SC
343900000X
Non-emergency Medical Transport (VAN)
7241
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
502236
—
SC
Enumeration date
09/29/2005
Last updated
06/02/2026
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