| Organization Name: | SAMARITAN AMBULANCE SERVICE, INC. |
| NPI Number: | 1750612248 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GARLAND TANT (OWNER) |
| Mailing Address: | 375 E. Third Street Wendell |
| State: | NC US |
| Postal Code: | 275919708 |
| Phone Number: | 9193652911 |
| Fax Number: | |
| NPI Enumeration Date: | 01/22/2010 |
| NPI Last Update Date: | 01/22/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 0921570 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |