Healthcare Provider Details

I. General information

NPI: 1831431485
Provider Name (Legal Business Name): AMERICAN PRIDE MEDICAL TRANSPORTATION, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/21/2013
Last Update Date: 03/21/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

719 BRYTON TRCE
COLUMBIA SC
29210-3638
US

IV. Provider business mailing address

719 BRYTON TRCE
COLUMBIA SC
29210-3638
US

V. Phone/Fax

Practice location:
  • Phone: 803-206-3905
  • Fax:
Mailing address:
  • Phone: 803-206-3905
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State

VIII. Authorized Official

Name: PAULA G LANGSTON
Title or Position: OWNER
Credential: EMT-I
Phone: 803-206-3906