Organization · Type 2 NPI

Coastline Ambulance LLC

Land Ambulance · Conway, SC

NPI number 1275320855 Active

Practice location

1400 Church St Ste 300B
Conway, SC 29526-4159

Call (843) 712-5767 Map

Mailing address

PO Box 478
Conway, SC 29528-0478

Specialties and licenses

Taxonomy	Code	License
Land Ambulance Primary	3416L0300X	None listed

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NPI record

NPI: 1275320855
Entity type: Organization (Type 2)
Issued: Apr 24, 2025
Last updated: May 5, 2025
Status: Active

Other names

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Coastline Ambulance LLC · doing business as
Coastline Ambulance LLC · doing business as

Authorized official

Mr. Brent Matthew Johns, PARAMEDIC
Co-Owner
(843) 356-2326

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About NPI 1275320855

Coastline Ambulance LLC's National Provider Identifier is 1275320855, issued on Apr 24, 2025. The primary taxonomy on file is Land Ambulance (3416L0300X), and the practice location is in Conway, SC. The record was last updated on May 5, 2025.