Provider Demographics
NPI:1154684025
Name:LIFE-SAVERS MEDICAL TRANSPORT,LLC
Entity Type:Organization
Organization Name:LIFE-SAVERS MEDICAL TRANSPORT,LLC
Other - Org Name:LIFE SAVERS TRANSPORT
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER/CEO/PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:CAMPBELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-433-2512
Mailing Address - Street 1:603 WILLIE HODGE RD
Mailing Address - Street 2:
Mailing Address - City:MULLINS
Mailing Address - State:SC
Mailing Address - Zip Code:29574-6129
Mailing Address - Country:US
Mailing Address - Phone:843-433-2512
Mailing Address - Fax:
Practice Address - Street 1:603 WILLIE HODGE RD
Practice Address - Street 2:
Practice Address - City:MULLINS
Practice Address - State:SC
Practice Address - Zip Code:29574-6129
Practice Address - Country:US
Practice Address - Phone:843-433-2512
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-16
Last Update Date:2012-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport