PEE DEE AMBULANCE, LLC (NPI# 1710166970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710166970 |
| Entity Type | Organization |
| Organization Name | PEE DEE AMBULANCE, LLC |
| Other Organization Name | CAROLINA MEDCARE, PEE DEE REGION |
| Practice Address |
1322 Broughton Blvd Florence SC 29501-6979 |
| Mailing Address |
Po Box 6708 Florence SC 29502-6708 |
| Practice Telephone | 8436624600 |
| Practice Fax Number | 8436730034 |
| Mailing Telephone | 8436628887 |
| Mailing Fax Number | 8436629920 |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2007-10-24 |
| Authorized Official Name | MR. HENRY M TURBEVILLE JR. (REGIONAL DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 8434957329 |
| Authorized Official Credential | PARAMEDIC |
| Is Organization Subpart | Y |
| Parent Organization Name | CAROLINA MEDCARE, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 341600000X | Ambulance | 208 | SC | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | DHEC AMBULANCE SERVICE | 208 | 01 |
| Other Name | Type Code |
|---|---|
| Carolina MedCare, Pee Dee Region | Other Name - Individual/Organization |
| Street Address |
1322 BROUGHTON BLVD |
| City | FLORENCE |
| State | SC |
| Zip Code | 29501-6979 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639155112 | Medstar Ambulance Service, LLC | Non-emergency Medical Transport (VAN) | 1322 Broughton Blvd, Florence, SC 29501 | 2005-12-16 |
| 1821460502 | Medstar Medical Transport | Ambulance | 1322 Broughton Blvd, Florence, SC 29501-6979 | 2015-10-21 |
| 1740269141 | Carolina Medcare | Ambulance | 1322 Broughton Blvd, Florence, SC 29501-6979 | 2006-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700350444 | Angel Edwards Brown | Nurse Practitioner | Mcleod Health, 555 East Cheves Street, Florence, SC 29501 | 2019-01-16 |
| 1497229124 | Fred L. Evans IIi | Physical Therapy Assistant | 2439 Willwood Dr., Florence, SC 29501 | 2019-01-16 |
| 1841715596 | Faith Hope Love Homecare | Home Health | 604 S. Coit Street, Florence, SC 29501 | 2017-08-03 |
| 1083156350 | Karen Artis-bacote | Nurse Practitioner | 3835 Susan Dr, Florence, SC 29501 | 2016-11-17 |
| 1992251581 | Higher Ground Christian Counseling Service, LLC | Counselor | 1801 D West Evans Street, Florence, SC 29501 | 2016-09-01 |
| 1952752818 | Jack Carter Shackelford | Chiropractor | 311 West Palmetto Street, Florence, SC 29501 | 2016-06-22 |
| 1750743506 | Profection Therapy LLC | Clinic/Center | 315d North Beltline Dr., Florence, SC 29501 | 2016-03-22 |
| 1386002467 | Bergelt Optometric LLC | Optometrist | 2672 David Mcleod Blvd, Florence, SC 29501 | 2016-02-04 |
| 1437531993 | Sherika Tarshall Stuckey | Nurse Practitioner | 720 Coventry Lane, Apt C, Florence, SC 29501 | 2015-06-22 |
| 1245610062 | Christopher Tyree | Podiatrist | 709 W Evans St, Florence, SC 29501 | 2015-06-06 |
| Find all providers in zip 29501 | ||||
| Taxonomy Code | 341600000X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). |
| Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 37. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871001693 | Med Way Ambulance Service, LLC | Ambulance | 1627 E Palmetto St, Florence, SC 29506 | 2018-01-15 |
| 1548651425 | Grace Medical Transport, LLC | Ambulance | 1307 Broughton Blvd, Suite A, Florence, SC 29501-6988 | 2015-02-12 |
| 1174885305 | Idi Billing Service | Ambulance | 1855 Wax Myrtle Dr, Florence, SC 29501-6491 | 2012-06-13 |
| 1093889453 | Florence Township | Ambulance | 401 Firehouse Ln, Florence, NJ 08518 | 2006-11-20 |
| 1720007818 | Medxpress Transport, LLC | Ambulance | 525 S Dargan St, Florence, SC 29506-2549 | 2006-07-19 |
| 1851390611 | City of Florence Ky | Ambulance | 1152 Weaver Rd, Florence, KY 41042-8949 | 2005-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164022372 | Palmetto Medical Transportation, LLC | Ambulance | 161 Centre St, Orangeburg, SC 29115-6043 | 2020-10-27 |
| 1336768399 | Merit Transport Inc | Ambulance | 528 Piedmont Ave, Myrtle Beach, SC 29577-6362 | 2020-04-10 |
| 1962067173 | Guardian Medical Transit, LLC | Ambulance | 10838 Kings Rd Ste 25, Myrtle Beach, SC 29572-6070 | 2019-05-02 |
| 1982198289 | Lifeguard Ambulance Service LLC | Ambulance | 3111 Meeting Street Rd Unit A, North Charleston, SC 29405-7980 | 2018-06-20 |
| 1669978474 | Ermobile LLC | Ambulance | 107 David St, Easley, SC 29640-3530 | 2018-04-02 |
| 1407361512 | Lifeguard Ambulance Service LLC | Ambulance | 3908 Highway 9, Cheraw, SC 29520-6681 | 2017-12-12 |
| 1669987087 | Crystal River Medical Transportation LLC | Ambulance | 104 Dean Ct, Lexington, SC 29073-2907 | 2017-12-07 |
| 1578076022 | Demario Sawyer Sr | Ambulance | 107 N Royal Tower Dr Ste C, Irmo, SC 29063 | 2017-11-07 |
| 1457887747 | Chesterfield County Rescue Squad Inc. Unit 2 | Ambulance | 103 Cotton St, Chesterfield, SC 29709-1526 | 2017-05-04 |
| 1720535339 | Lucretia Ann Brown | Ambulance | 6938 Faust St, Columbia, SC 29223-7529 | 2016-09-01 |
| 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.