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1114088234 NPI number — FAMILY MEDICAL TRANSPORT LLC

NPI Number: 1114088234
Health Care Provider/Practitioner: FAMILY MEDICAL TRANSPORT LLC

Information about “1114088234” NPI (FAMILY MEDICAL TRANSPORT LLC) exists in 1114088234 in HTML format HTML  |  1114088234 in plain Text format TXT  |  1114088234 in PDF (Portable Document Format) PDF  |  1114088234 in an XML format XML  formats.

NPI Number : 1114088234 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1114088234",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "FAMILY MEDICAL TRANSPORT LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "P O BOX 30488",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CHARLESTON",
    "MailingAddressStateName": "SC",
    "MailingAddressPostalCode": "29417-0488",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "843-225-0460",
    "MailingAddressFaxNumber": "843-769-4555",
    "FirstLinePracticeLocationAddress": "1855 BELGRADE AVENUE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CHARLESTON",
    "PracticeLocationAddressStateName": "SC",
    "PracticeLocationAddressPostalCode": "29407-5713",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "843-769-4280",
    "PracticeLocationAddressFaxNumber": "843-225-4280",
    "EnumerationDate": "12/12/2006",
    "LastUpdateDate": "08/22/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "ABRAMS",
    "AuthorizedOfficialFirstName": "DAVID",
    "AuthorizedOfficialMiddleName": "BARUCH",
    "AuthorizedOfficialTitle": "MEMBER MANAGER",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "ESQ",
    "AuthorizedOfficialTelephoneNumber": "843-276-5579",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "341600000X",
        "TaxonomyName": "Ambulance",
        "LicenseNumber": "165",
        "LicenseNumberStateCode": "SC",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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