Healthcare Provider Details

I. General information

NPI: 1770185787
Provider Name (Legal Business Name): RUSH HOUR LOGISTICS MEDICAL TRANSPORT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/13/2020
Last Update Date: 11/13/2020
Certification Date: 11/13/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3618 ASHLEY PHOSPHATE RD STE 1
NORTH CHARLESTON SC
29418-8586
US

IV. Provider business mailing address

329 LAMPKIN RD
SAINT STEPHEN SC
29479-3894
US

V. Phone/Fax

Practice location:
  • Phone: 843-737-3782
  • Fax:
Mailing address:
  • Phone: 843-737-3782
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: RONICE LAMPKIN
Title or Position: RN
Credential: RN
Phone: 843-737-3782