COASTAL LIFE AMBULANCE INC. NPI 1891126652

NPI Information

NPI: 1891126652
Provider Name: COASTAL LIFE AMBULANCE, INC.

Former Legal Business Name: EASTBOUND & DOWN, INC.

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
415 ROBERTSON BLVD STE B
WALTERBORO, SC
ZIP 29488
Phone: (888) 935-5525
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COASTAL LIFE AMBULANCE, INC. is a land transport ambulance in Walterboro, SC. COASTAL LIFE AMBULANCE, INC. NPI is 1891126652. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Eastbound & Down, Inc..

The provider's business location address is:

415 ROBERTSON BLVD STE B
WALTERBORO, SC
ZIP 29488-713
Phone: (888) 935-5525

The provider's authorized official is James Clair Brusseau .
The authorized official title is President and has the following contact phone number (916) 871-8487.

The enumeration date for this NPI number is 12/4/2013 and was last updated on 5/4/2014.

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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