Provider Demographics
NPI:1730403676
Name:STAT AMBULANCE SERVICE LLC
Entity type:Organization
Organization Name:STAT AMBULANCE SERVICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:GUINTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-242-7828
Mailing Address - Street 1:PO BOX 80364
Mailing Address - Street 2:CHARLESTON, SC 29416
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29416-0364
Mailing Address - Country:US
Mailing Address - Phone:843-242-7828
Mailing Address - Fax:843-277-0277
Practice Address - Street 1:1816 BELGRADE AVE
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29407-1709
Practice Address - Country:US
Practice Address - Phone:843-242-7828
Practice Address - Fax:843-277-0277
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-22
Last Update Date:2011-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2693416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport