Organization Name: | LAKESIDE MEDICAL RESPONSE |
NPI Number: | 1528286374 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SHAMEEKA S MCDUFFIE (OWNER) |
Mailing Address: | 770 S Ron Mcnair Blvd Unit A Lake City |
State: | SC US |
Postal Code: | 295603824 |
Phone Number: | 8433747480 |
Fax Number: | |
NPI Enumeration Date: | 04/24/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 341600000X |
License Number: | 234 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | |
Taxonomy Definition: | An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). |