Organization
COASTLINE AMBULANCE LLC
Active
Other names
Coastline Ambulance LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRENT MATTHEW JOHNS PARAMEDIC (CO-OWNER)
(843) 356-2326
Entity
Organization
Contact information
Practice address
1400 CHURCH ST STE 300B, CONWAY, SC 29526-4159
(843) 712-5767
Mailing address
PO BOX 478, CONWAY, SC 29528-0478
(843) 712-5767
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Enumeration date
04/24/2025
Last updated
05/05/2025
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