West Coast - Southern Medical Service Inc

LBN: West Coast - Southern Medical Service Inc
West Coast - Southern Medical Service Inc is an health care organization with primary practice located at 934 14Th St W , Bradenton FL 34205-6646. The organization recently has only one registered license in Transportation Services / Land Transport, which is considered as the primary health care specialty. West Coast - Southern Medical Service Inc can be contacted via phone (941) 748-7148, or through Mcgowan, Carole A. via phone (941) 748-7148.

Contact Information

Primary practice address
934 14Th St W Bradenton FL 34205-6646
Fax: (941) 748-8520
Website:
Authorized official contact:
Name: Mcgowan, Carole A. Emergency Medical Technician-Paramedic (EMT-P)

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Land Transport 3416L0300X 002614 Florida

Profile Details

NPI number 1740284785
LBN Legal business name West Coast - Southern Medical Service Inc
DBA Doing business as
Authorized official Mcgowan, Carole A. Emergency Medical Technician-Paramedic (EMT-P)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 8th, 2005
Last updated Nov 28th, 2012 - about 12 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 1740284785 NPPES
Other 080288100 BLACK LUNG PROGRAM
MEDICAID 400017005 BLACK LUNG PROGRAM
MEDICAID 40001700 BLACK LUNG PROGRAM
MEDICAID 400017002 BLACK LUNG PROGRAM
Other 429840000 BLACK LUNG PROGRAM
MEDICAID 400017004 BLACK LUNG PROGRAM
Other 00559 BLACK LUNG PROGRAM
Other 590009510 BLACK LUNG PROGRAM
Other 203246400 BLACK LUNG PROGRAM
MEDICAID 400017003 BLACK LUNG PROGRAM

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