Organization
MEDSTAR AMBULANCE SERVICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOMMY B JONES PARAMEDIC (CEO/OWNER)
(843) 669-7827
Entity
Organization
Contact information
Practice address
1322 BROUGHTON BLVD, FLORENCE, SC 29501
(843) 669-7827
(843) 669-3279
Mailing address
1322 BROUGHTON BLVD, FLORENCE, SC 29501
(843) 669-7827
(843) 669-3279
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
068
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AB0203
—
SC
Enumeration date
12/16/2005
Last updated
04/15/2011
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