Healthcare Provider Details

I. General information

NPI: 1962190041
Provider Name (Legal Business Name): EIRAM MEDICAL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2023
Last Update Date: 04/28/2023
Certification Date: 04/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

265 PINESHAWDOW DR.
GOOSE CREEK SC
29445
US

IV. Provider business mailing address

431 SAINT JAMES AVE UNIT L
GOOSE CREEK SC
29445-2703
US

V. Phone/Fax

Practice location:
  • Phone: 843-284-3367
  • Fax:
Mailing address:
  • Phone: 843-284-3367
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: APRIL GRIFFIN
Title or Position: ADMINISTRATOR
Credential:
Phone: 843-284-3367