Provider Demographics
NPI:1134985575
Name:SAFERIDE TRANSPORT INC.
Entity type:Organization
Organization Name:SAFERIDE TRANSPORT INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:CLIFTON
Authorized Official - Last Name:BURCH
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:843-458-1179
Mailing Address - Street 1:528 PIEDMONT AVE
Mailing Address - Street 2:
Mailing Address - City:MYRTLE BEACH
Mailing Address - State:SC
Mailing Address - Zip Code:29577-6362
Mailing Address - Country:US
Mailing Address - Phone:843-375-6607
Mailing Address - Fax:843-839-5060
Practice Address - Street 1:528 PIEDMONT AVE
Practice Address - Street 2:
Practice Address - City:MYRTLE BEACH
Practice Address - State:SC
Practice Address - Zip Code:29577-6362
Practice Address - Country:US
Practice Address - Phone:843-375-6607
Practice Address - Fax:843-839-5060
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-23
Last Update Date:2024-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)