Provider Demographics
NPI:1629677786
Name:SOS MEDICAL INC
Entity type:Organization
Organization Name:SOS MEDICAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/EMS DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:BRYAN
Authorized Official - Middle Name:S
Authorized Official - Last Name:BURSON
Authorized Official - Suffix:
Authorized Official - Credentials:NRP
Authorized Official - Phone:573-979-5712
Mailing Address - Street 1:120 INDIAN SPRINGS DR
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MO
Mailing Address - Zip Code:63755-8782
Mailing Address - Country:US
Mailing Address - Phone:573-979-5712
Mailing Address - Fax:
Practice Address - Street 1:120 INDIAN SPRINGS DR
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MO
Practice Address - Zip Code:63755-8782
Practice Address - Country:US
Practice Address - Phone:573-979-5712
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-20
Last Update Date:2025-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)