| Organization Name: | EAST PALMETTO AMBULANCE SERVICE LLC |
| NPI Number: | 1093011256 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JASON LOWDER (DIRECTOR) |
| Mailing Address: | 3694 Greeleyville Hwy Manning |
| State: | SC US |
| Postal Code: | 291026197 |
| Phone Number: | 8034738000 |
| Fax Number: | 8034738001 |
| NPI Enumeration Date: | 02/07/2011 |
| NPI Last Update Date: | 02/07/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 280 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |