Healthcare Provider Details

I. General information

NPI: 1447701552
Provider Name (Legal Business Name): AMBU-SURE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2016
Last Update Date: 10/03/2021
Certification Date: 10/03/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

297 FOXHALL RD
SPARTANBURG SC
29306-5509
US

IV. Provider business mailing address

297 FOXHALL RD
SPARTANBURG SC
29306-5509
US

V. Phone/Fax

Practice location:
  • Phone: 864-978-2875
  • Fax:
Mailing address:
  • Phone: 864-978-2875
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number04461814
License Number StateSC

VIII. Authorized Official

Name: TAMMY M. TEMPLETON
Title or Position: OWNER
Credential:
Phone: 864-278-9825