Provider Demographics
NPI:1003299066
Name:INNER BANKS MEDICAL TRANSPORT COMPANY
Entity Type:Organization
Organization Name:INNER BANKS MEDICAL TRANSPORT COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:L
Authorized Official - Last Name:SAWYER
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:252-217-5807
Mailing Address - Street 1:1135 CREEK DR
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSTON
Mailing Address - State:NC
Mailing Address - Zip Code:27892-8080
Mailing Address - Country:US
Mailing Address - Phone:252-217-5807
Mailing Address - Fax:252-792-8774
Practice Address - Street 1:1135 CREEK DR
Practice Address - Street 2:
Practice Address - City:WILLIAMSTON
Practice Address - State:NC
Practice Address - Zip Code:27892-8080
Practice Address - Country:US
Practice Address - Phone:252-217-5807
Practice Address - Fax:252-792-8774
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-08
Last Update Date:2021-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC18573416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport