Lakeside Medical Response

LBN: Lakeside Medical Response
Lakeside Medical Response is an health care organization with primary practice located at 770 S Ron Mcnair Blvd Unit A, Lake City SC 29560-3824. The organization recently has only one registered license in Transportation Services / Ambulance, which is considered as the primary health care specialty. Lakeside Medical Response can be contacted via phone (843) 374-7480, or through Mcduffie, Shameeka S via phone (843) 260-0922.

Contact Information

Primary practice address
770 S Ron Mcnair Blvd Unit A Lake City SC 29560-3824
Phone: (843) 374-7480
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mcduffie, Shameeka S
Phone: (843) 260-0922

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Ambulance 341600000X 234 South Carolina

Profile Details

NPI number 1528286374
LBN Legal business name Lakeside Medical Response
DBA Doing business as
Authorized official Mcduffie, Shameeka S
Entity Organization
Organization subpart 1 No
Enumeration date Apr 24th, 2007
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528286374 NPPES
South Carolina Other 234 DHEC
South Carolina MEDICAID AB0255 DHEC

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