Provider Demographics
NPI:1043780158
Name:SCOTLAND COUNTY AMBULANCE DISTRICT
Entity Type:Organization
Organization Name:SCOTLAND COUNTY AMBULANCE DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EMS DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ERICK
Authorized Official - Middle Name:
Authorized Official - Last Name:BYRN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:660-465-2111
Mailing Address - Street 1:435 E GRAND AVE
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:MO
Mailing Address - Zip Code:63555-1501
Mailing Address - Country:US
Mailing Address - Phone:660-465-2111
Mailing Address - Fax:
Practice Address - Street 1:435 E GRAND AVE
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:MO
Practice Address - Zip Code:63555-1501
Practice Address - Country:US
Practice Address - Phone:660-465-2111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-01
Last Update Date:2019-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport