Organization Name: | BRAVEHEART MEDICAL TRANSPORT, INC |
NPI Number: | 1003870072 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | NEIL SMITH (OWNER) |
Mailing Address: | 303d Atkinson St Laurinburg |
State: | NC US |
Postal Code: | 283523633 |
Phone Number: | 9102778003 |
Fax Number: | 9102770508 |
NPI Enumeration Date: | 04/14/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | 1381 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |