SOUTHMED AMBULANCE SERVICE LLC NPI 1154824563

NPI Information

NPI: 1154824563
Provider Name: SOUTHMED AMBULANCE SERVICE LLC
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 42D2131229

Address:
1150 BROAD ST STE 3
SUMTER, SC
ZIP 29150
Phone: (803) 968-3009
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SOUTHMED AMBULANCE SERVICE LLC is a land transport ambulance in Sumter, SC. SOUTHMED AMBULANCE SERVICE LLC NPI is 1154824563. The provider is registered as an organization entity type.

The provider's business location address is:

1150 BROAD ST STE 3
SUMTER, SC
ZIP 29150-997
Phone: (803) 968-3009

The provider's authorized official is James Derick Pearson .
The authorized official title is Director and has the following contact phone number (803) 968-3009.

The CLIA number assigned to this NPI record is 42D2131229 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/12/2018 and was last updated on 5/4/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3416L0300X	Ambulance	Land Transport			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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