Lifestar

LBN: Waccamaw Medical Transport, Inc.
Lifestar is an health care organization with primary practice located at 3926 Wesley St Suite 202, Myrtle Beach SC 29579-7332. The organization recently has only one registered license in Transportation Services / Ambulance, which is considered as the primary health care specialty. Waccamaw Medical Transport, Inc. can be contacted via phone (843) 903-5290, or through Garren, Dedie J. via phone (843) 997-1535.

Contact Information

Primary practice address
3926 Wesley St Suite 202 Myrtle Beach SC 29579-7332
Phone: (843) 903-5290
Fax: (843) 903-4980
Website:
Map and Directions
Authorized official contact:
Name: Garren, Dedie J.
Phone: (843) 997-1535

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Ambulance 341600000X 109 South Carolina
Transportation Services / Ambulance 341600000X 1616 North Carolina

Profile Details

NPI number 1487644316
LBN Legal business name Waccamaw Medical Transport, Inc.
DBA Doing business as Lifestar
Authorized official Garren, Dedie J.
Entity Organization
Organization subpart 1 No
Enumeration date Oct 22nd, 2005
Last updated Aug 22nd, 2020 - about 5 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 1487644316 NPPES
South Carolina MEDICAID AB0206

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