Organization
MEDSHORE AMBULANCE SERVICE, LLC
Active
Other names
Guardian 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
03/12/2026
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