MED ATLANTIC (NPI# 1215347968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215347968 |
| Entity Type | Organization |
| Organization Name | MED ATLANTIC |
| Practice Address |
108 N Mauldin St Latta SC 29565-1319 |
| Mailing Address |
Po Box 419 Latta SC 29565-0419 |
| Practice Telephone | 8436102102 |
| Mailing Telephone | (843) 610-2102 |
| Enumeration Date | 2014-05-03 |
| Last Update Date | 2017-09-11 |
| Authorized Official Name | MICHELLE H SMITH (OWNER/OPERATOR) |
| Authorized Official Telephone | 8436102102 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services | ||
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
Transportation Services |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Med Atlantic Inc. | 9101 Stony Point Dr, Richmond, Virginia 23235-1979 |
| New York State Corporations | MED ATLANTIC MARKETING INC | 95-28 78th Street, Ozone Park, Ny 11416 |
| Street Address |
108 N MAULDIN ST |
| City | LATTA |
| State | SC |
| Zip Code | 29565-1319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952684433 | Cox Speech-language Pathology, Inc. | Speech-Language Pathologist | 108 N Mauldin St, Latta, SC 29565-1319 | 2011-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619409901 | Archie Brown | Nurse Practitioner | 122 Latimer St., Latta, SC 29565 | 2017-03-28 |
| 1841383551 | Latta Rescue Squad, Inc. | Ambulance | 107 West Bambergg Street, Latta, SC 29565 | 2006-10-02 |
| 1023021227 | Dillon County School District Three | Local Education Agency (LEA) | 205 King St, Latta, SC 29565 | 2006-08-15 |
| 1598004475 | Sandra Jones | Psychologist | 205 King St, Latta, SC 29565-1401 | 2013-02-12 |
| 1225377336 | Denise Marie Gallant | Psychologist | 205 King St, Latta, SC 29565-1401 | 2013-02-08 |
| 1467791335 | Anita Graves Mace | Registered Nurse | 602 N Richardson St, Latta, SC 29565-1416 | 2013-02-12 |
| 1871579557 | Raeford Lee Clanton | Dentist | 203 S Marion St, Latta, SC 29565-1522 | 2005-12-15 |
| 1992032486 | Modern Legacy, Inc. | Dentist | 203 S Marion St, Latta, SC 29565-1522 | 2009-11-04 |
| 1700082930 | Latta Smiles | Dentist | 203 S Marion St, Latta, SC 29565-1522 | 2007-06-25 |
| 1225231681 | Nicole Stroud Price | Dentist | 203 S Marion St, Latta, SC 29565-1522 | 2007-06-05 |
| Find all providers in zip 29565 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
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| 1649820937 | Lifeguard Ambulance Service LLC | Ambulance | 145 Medical Center Dr, Gaffney, SC 29340-4823 | 2019-09-18 |
| 1144790361 | Hope Medical Transport and Training, LLC | Ambulance | 308 Lake Moultrie Dr, Bonneau, SC 29431-8540 | 2018-11-30 |
| 1194200063 | Port City Ambulance Service LLC | Ambulance | 2357 N Highway 17 Ste 210, Mount Pleasant, SC 29466-6853 | 2018-09-26 |
| 1154824563 | Southmed Ambulance Service LLC | Ambulance | 9b Willow Dr, Sumter, SC 29150-4139 | 2018-03-12 |
| 1205354669 | Move Around Distribution LLC | Ambulance | 1688 Katy Ln, Tega Cay, SC 29708-8974 | 2017-09-06 |
| 1710419692 | Transpro Medical Transport | Ambulance | 282 Center Dr, Myrtle Beach, SC 29572-5613 | 2017-03-30 |
| 1609307586 | Secure Transportation Services | Ambulance | 5402 Old York Rd, Rock Hill, SC 29732-9592 | 2017-03-23 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.