Healthcare Provider Details

I. General information

NPI: 1861897159
Provider Name (Legal Business Name): VETERANS TRANSPORTATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/29/2014
Last Update Date: 11/25/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

121 E. MARION AVE.
NORTH AUGUSTA SC
29841
US

IV. Provider business mailing address

P.O. BOX 6395
NORTH AUGUSTA SC
29861
US

V. Phone/Fax

Practice location:
  • Phone: 803-442-9426
  • Fax: 803-442-3684
Mailing address:
  • Phone: 803-442-9426
  • Fax: 803-442-3684

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number352
License Number StateSC

VIII. Authorized Official

Name: PATRICK J HICKSON
Title or Position: PRESIDENT
Credential: OWNER
Phone: 803-215-0005