Healthcare Provider Details

I. General information

NPI: 1669773081
Provider Name (Legal Business Name): ACCESS MEDICAL TRANSPORTATION, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/17/2010
Last Update Date: 11/17/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27 CHELSEABROOK CT
MAULDIN SC
29662-2700
US

IV. Provider business mailing address

27 CHELSEABROOK CT
MAULDIN SC
29662-2700
US

V. Phone/Fax

Practice location:
  • Phone: 864-329-6405
  • Fax: 864-286-1602
Mailing address:
  • Phone: 864-329-6405
  • Fax: 864-286-1602

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MS. PAMELA BERRY
Title or Position: PRESIDENT/CEO
Credential:
Phone: 864-329-6405