Provider Demographics
NPI:1790127355
Name:CAROLINA FIRST TRANSPORTATION AMBULANCE OF SOUTH CAROLINA
Entity Type:Organization
Organization Name:CAROLINA FIRST TRANSPORTATION AMBULANCE OF SOUTH CAROLINA
Other - Org Name:C.F.T. AMBULANCE OF SOUTH CAROLINA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JEREMY
Authorized Official - Middle Name:FON
Authorized Official - Last Name:AHLIJAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-583-3663
Mailing Address - Street 1:1248 BOILING SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29303-2242
Mailing Address - Country:US
Mailing Address - Phone:864-583-3663
Mailing Address - Fax:864-583-3664
Practice Address - Street 1:1248 BOILING SPRINGS RD
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29303-2242
Practice Address - Country:US
Practice Address - Phone:864-583-3663
Practice Address - Fax:864-583-3664
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-24
Last Update Date:2013-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC304341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance