MEDICARE: MEDITAM AMBULANCE SERVICE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	343800000X	Secured Medical Transport (VAN)
2	343900000X	Non-emergency Medical Transport (VAN)
3	344600000X	Taxi
4	3416L0300X	Land Ambulance

General Provider Information

NPI Number	:	1457782906
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDITAM AMBULANCE SERVICE INC

Provider Business Mailing Address
First Line	:	3926 WESLEY ST
Second Line	:	SUITE 103
City	:	MYRTLE BEACH
State	:	SC
Zip	:	29579-7332
Country	:	US
Telephone Number	:	843-236-6001
Fax Number	:	843-236-6002

Provider Business Practice Location Address
First Line	:	3926 WESLEY ST
Second Line	:	SUITE 103
City	:	MYRTLE BEACH
State	:	SC
Zip	:	29579-7332
Country	:	US
Telephone Number	:	843-236-6001
Fax Number	:	843-236-6002

Authorized Official
Title or Position	:	OWNER
Name	:	MR. ROBERT A PIKAART
Credential	:
Telephone Number	:	843-236-6001

Provider Enumeration Date	:	12/10/2013
Last Update Date	:	12/10/2013

Similar Medicare Providers

1487644316 — WACCAMAW MEDICAL TRANSPORT, INC.
Practice Location Address:

3926 WESLEY ST , SUITE 202
MYRTLE BEACH, SC
29579-7332

Practice Phone: 843-903-5290
Practice Fax: 843-903-4980

1427234376 — WACCAMAW MEDICAL TRANSPORT, INC.
Practice Location Address:

3926 WESLEY ST , SUITE 202
MYRTLE BEACH, SC
29579-7332

Practice Phone: 843-903-5290
Practice Fax:

1316801467 — CORNERSTONE CAREGIVING EAST LLC
Practice Location Address:

3926 WESLEY ST STE 903
MYRTLE BEACH, SC
29579-7333

Practice Phone: 854-246-7353
Practice Fax:

1639893498 — NIKIYA SHANTA EVANS LPN
Practice Location Address:

104 GEORGE BISHOP PKWY
MYRTLE BEACH, SC
29579-7335

Practice Phone: 800-805-6989
Practice Fax:

1710448568 — EMILY GRIESHABER PT
Practice Location Address:

210 VILLAGE CENTER BLVD STE 200
MYRTLE BEACH, SC
29579-6706

Practice Phone: 843-353-3460
Practice Fax: 843-353-3461

1922631522 — OCEANIC COUNSELING GROUP LLC
Practice Location Address:

215 RONNIE CT STE C
MYRTLE BEACH, SC
29579-4204

Practice Phone: 843-894-0000
Practice Fax: 843-589-9054

Directions to “MEDITAM AMBULANCE SERVICE INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.