Organization
MEDSHORE AMBULANCE SERVICE
Active
Other names
Gold Cross Ambulance Serivce
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREG L SHORE (CEO)
(864) 260-4578
Entity
Organization
Contact information
Practice address
3038 LEAD HART RD, W COLUMBIA, SC 29169-3022
(803) 794-8107
(803) 794-8212
Mailing address
PO BOX 2105, ANDERSON, SC 29622-2105
(864) 260-4600
(864) 260-4575
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
083
SC
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AB0226
—
SC
Enumeration date
06/07/2006
Last updated
12/06/2007
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