MEDSTAR MEDICAL TRANSPORT (NPI# 1821460502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821460502 |
| Entity Type | Organization |
| Organization Name | MEDSTAR MEDICAL TRANSPORT |
| Practice Address |
1322 Broughton Blvd Florence SC 29501-6979 |
| Practice Telephone | 8436697827 |
| Practice Fax Number | 8436693279 |
| Mailing Telephone | 8436697827 |
| Mailing Fax Number | 8436693279 |
| Enumeration Date | 2015-10-21 |
| Last Update Date | 2016-05-25 |
| Authorized Official Name | MRS. MARY BLANCHE JONES (OWNER) |
| Authorized Official Telephone | 8436697827 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
201199 | SC | Transportation Services |
| 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 |
| 1710166970 | Pee Dee Ambulance, LLC | Ambulance | 1322 Broughton Blvd, Florence, SC 29501-6979 | 2007-10-24 |
| 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 | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013363258 | Florence Rescue Squad Ltd | Ambulance | 747 Lake Ave, Florence, WI 54121 | 2016-05-06 |
| 1437539053 | Regeneration Center | Ambulance | 1801 Jason Dr, Florence, SC 29505-3220 | 2015-06-09 |
| 1376931402 | American Critical Care Transport | Ambulance | 873 Ivanhoe Dr, Florence, SC 29505-3613 | 2014-12-23 |
| 1497177695 | Shoals Ambulance LLC | Ambulance | 310 E Dr Hicks Blvd, Florence, AL 35630-5770 | 2014-01-08 |
| 1245662634 | Ambu 1 Transport Service LLC | Ambulance | 1557 Waverly Ave, Florence, SC 29501-3352 | 2013-08-07 |
| 1073871836 | Shoals Ambulance LLC | Ambulance | 610 Thompson St, Florence, AL 35630-3859 | 2012-04-30 |
| 1720379571 | Medone Medical Transport, LLC | Ambulance | 3211a Bryson Dr, Florence, SC 29501-6011 | 2011-04-27 |
| 1861781197 | Coastal Medical Transprt LLC | Ambulance | 6906 Hollybrook Cir, Florence, SC 29505-9291 | 2011-04-07 |
| 1124337209 | National Transport | Ambulance | 2124 W Jody Rd, Florence, SC 29501-2032 | 2010-10-06 |
| 1548581333 | Heartline Transport Services, LLC | Ambulance | 117 Conyers Ave, Florence, SC 29505-3160 | 2010-06-16 |
| Find all providers in FLORENCE | ||||
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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.