MEDICARE: MEDCARE AMBULANCE OF THE MIDLANDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416L0300X	Land Ambulance	DHEC 199	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1942252119
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDCARE AMBULANCE OF THE MIDLANDS

Provider Business Mailing Address
First Line	:	PO BOX 6708
Second Line	:
City	:	FLORENCE
State	:	SC
Zip	:	29502-6708
Country	:	US
Telephone Number	:	843-662-8887
Fax Number	:	843-662-9920

Provider Business Practice Location Address
First Line	:	771 E LIBERTY ST
Second Line	:
City	:	SUMTER
State	:	SC
Zip	:	29153-5050
Country	:	US
Telephone Number	:	803-773-0944
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF OPERATIONS
Name	:	MR. HENRY M TURBEVILLE JR.
Credential	:
Telephone Number	:	843-662-8887

Provider Enumeration Date	:	05/16/2006
Last Update Date	:	06/29/2009

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