Organization Name: | IRON PONY INC |
NPI Number: | 1043512866 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JASON BRANDON DAVIS (DIRECTOR/CEO) |
Mailing Address: | 1065 Harbor Dr West Columbia |
State: | SC US |
Postal Code: | 291693609 |
Phone Number: | 8038343200 |
Fax Number: | 8037911577 |
NPI Enumeration Date: | 11/30/2010 |
NPI Last Update Date: | 11/30/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | 277 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |