Healthcare Provider Details
I. General information
NPI: 1437114808
Provider Name (Legal Business Name): BNT TRANSPORTATION SERVICE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/19/2006
Last Update Date: 07/21/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
60 MYRTLE BEACH HWY
SUMTER SC
29153-5033
US
IV. Provider business mailing address
60 MYRTLE BEACH HWY
SUMTER SC
29153-5033
US
V. Phone/Fax
- Phone: 803-774-4450
- Fax: 803-774-4452
- Phone: 803-774-4450
- Fax: 803-774-4452
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 341600000X |
| Taxonomy | Ambulance |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
NOLAN
BOSSARD
II
Title or Position: CEO/MANAGER
Credential:
Phone: 803-774-4450