WEST COAST - SOUTHERN MEDICAL SERVICE INC NPI 1740284785

NPI Information

NPI: 1740284785
Provider Name: WEST COAST - SOUTHERN MEDICAL SERVICE INC
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
934 14TH ST W
BRADENTON, FL
ZIP 34205
Phone: (941) 748-7148
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WEST COAST - SOUTHERN MEDICAL SERVICE INC is a land transport ambulance in Bradenton, FL. WEST COAST - SOUTHERN MEDICAL SERVICE INC NPI is 1740284785. The provider is registered as an organization entity type.

The provider's business location address is:

934 14TH ST W
BRADENTON, FL
ZIP 34205-646
Phone: (941) 748-7148
Fax: (941) 748-8520

The provider's authorized official is Carole A. Mcgowan .
The authorized official title is Vice President and has the following contact phone number (941) 748-7148.

The enumeration date for this NPI number is 6/8/2005 and was last updated on 11/28/2012.

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	002614	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00559	OTHER		UNIVERSAL HEALTHCARE
2	A0677	MEDICARE ID-TYPE UNSPECIFIED
3	VF=========001	OTHER		VOCATIONAL REHABILITATION
4	080288100	OTHER		BLACK LUNG PROGRAM
5	400017003	MEDICAID	FLORIDA
6	400017004	MEDICAID	FLORIDA
7	400017002	MEDICAID	FLORIDA
8	400017005	MEDICAID	FLORIDA
9	203246400	OTHER		US DEPT OF LABOR WORK COM
10	40001700	MEDICAID	FLORIDA
11	590009510	OTHER		RAILROAD MEDICARE
12	429840000	OTHER		MAINE CARE

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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