Provider Demographics
NPI:1568662708
Name:S&S TRANSPORTATION CONSOLIDATION SERVICE LLC
Entity Type:Organization
Organization Name:S&S TRANSPORTATION CONSOLIDATION SERVICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PART OWNERSHIP
Authorized Official - Prefix:MS
Authorized Official - First Name:GLORIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:SNOW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-206-3997
Mailing Address - Street 1:674 MOORE ST
Mailing Address - Street 2:
Mailing Address - City:LAKE CITY
Mailing Address - State:SC
Mailing Address - Zip Code:29560-4273
Mailing Address - Country:US
Mailing Address - Phone:843-206-3997
Mailing Address - Fax:843-662-8101
Practice Address - Street 1:674 MOORE ST
Practice Address - Street 2:
Practice Address - City:LAKE CITY
Practice Address - State:SC
Practice Address - Zip Code:29560-4273
Practice Address - Country:US
Practice Address - Phone:843-206-3997
Practice Address - Fax:843-662-8101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-24
Last Update Date:2007-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC261QA0006X, 261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0006XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Fertility Facility
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health