Provider Demographics
NPI:1780841981
Name:METRO ONE AMBULANCE INC.
Entity type:Organization
Organization Name:METRO ONE AMBULANCE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CLINT
Authorized Official - Middle Name:
Authorized Official - Last Name:STEERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-799-5139
Mailing Address - Street 1:PO BOX 2150
Mailing Address - Street 2:
Mailing Address - City:EVANS
Mailing Address - State:GA
Mailing Address - Zip Code:30809-2150
Mailing Address - Country:US
Mailing Address - Phone:706-799-5139
Mailing Address - Fax:803-988-1066
Practice Address - Street 1:3905 W BELTLINE BLVD
Practice Address - Street 2:STE 17
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29204-1503
Practice Address - Country:US
Practice Address - Phone:803-586-9729
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-16
Last Update Date:2019-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC148013416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCAB0271Medicaid
SCQ348300001Medicare PIN