GUARDIAN MEDICAL TRANSIT, LLC (NPI# 1962067173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962067173 |
| Entity Type | Organization |
| Organization Name | GUARDIAN MEDICAL TRANSIT, LLC |
| Other Organization Name | GUARDIAN MEDICAL TRANSIT, LLC |
| Practice Address |
10838 Kings Rd Ste 25 Myrtle Beach SC 29572-6070 |
| Practice Telephone | 8434570725 |
| Mailing Telephone | 8434570725 |
| Enumeration Date | 2019-05-02 |
| Last Update Date | 2020-02-19 |
| Authorized Official Name | KENNETH M. THOMAS (CEO) |
| Authorized Official Telephone | 8434570725 |
| Authorized Official Credential | DIRECTOR |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 341600000X | Ambulance | Transportation Services | ||
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | MEDICIAD | 17347 | 01 |
| Other Name | Type Code |
|---|---|
| Guardian Medical Transit, LLC | Doing Business As Name - Organization |
| Street Address |
10838 KINGS RD STE 25 |
| City | MYRTLE BEACH |
| State | SC |
| Zip Code | 29572-6070 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023582624 | Kenneth M. Thomas | Ambulance | 10838 Kings Rd Ste 25, Myrtle Beach, SC 29572-6070 | 2019-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629684576 | Matthew David Zeuschner | Nurse Practitioner | 107 Woodwind Court, Myrtle Beach, SC 29572 | 2020-09-16 |
| 1578191789 | Julia Ruth Nelson | Student in an Organized Health Care Education/Training Program | Grand Strand Medical Center- Gme Office, 809 82nd Parkway, Myrtle Beach, SC 29572 | 2020-04-01 |
| 1407484835 | Justin Schevers | Student in an Organized Health Care Education/Training Program | 802 82nd Parkway, Myrtle Beach, SC 29572 | 2020-03-31 |
| 1922636919 | Darian Michael Quigg | Student in an Organized Health Care Education/Training Program | 809 82nd Street Parkway, Myrtle Beach, SC 29572 | 2020-03-27 |
| 1881221141 | Jonathan Alden Bryan | Student in an Organized Health Care Education/Training Program | Grand Strand Medical Center, 809 82nd Parkway, Myrtle Beach, SC 29572 | 2020-03-26 |
| 1215575238 | Polaris Skin Diagnostics, LLC | Dermatology | 8170 Rourk Street, Suite 100, Myrtle Beach, SC 29572 | 2019-12-20 |
| 1700348711 | Five Star Rehabilitation and Wellness Services, LLC. | Clinic/Center | 9547 N Kings Hwy, Myrtle Beach, SC 29572 | 2019-04-01 |
| 1154882975 | Michael Kouandjio | Student in an Organized Health Care Education/Training Program | Grand Strand Medical Center-gme Office, 809 82nd Parkway, Myrtle Beach, SC 29572 | 2019-03-26 |
| 1154880102 | Dylan Chase Morgan | Internal Medicine | Grand Strand Medical Center - Gme Office, 809 82nd Pkwy, Myrtle Beach, SC 29572 | 2019-03-19 |
| 1710446828 | David Redding Kingery Jr. | Student in an Organized Health Care Education/Training Program | Gme Office 809 82nd Parkway, Myrtle Beach, SC 29572 | 2019-03-18 |
| Find all providers in zip 29572 | ||||
| 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 |
|---|---|---|---|---|
| 1710419692 | Transpro Medical Transport | Ambulance | 282 Center Dr, Myrtle Beach, SC 29572-5613 | 2017-03-30 |
| 1154634624 | Volunteer Rescue Squd of Myrtle Beach | Ambulance | 1425 Enterprise Ave, Suite 6, Myrtle Beach, SC 29577-6556 | 2010-07-26 |
| 1942252192 | Strandcare | Ambulance | 179 Prather Park Dr, Unit A, Myrtle Beach, SC 29588-7949 | 2006-05-16 |
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|---|---|---|---|---|
| 1659991990 | 4ourboys LLC | Ambulance | 1643 Highway 544, Conway, SC 29526-8452 | 2020-04-16 |
| 1205469657 | Carolina Emergency Medical Services | Ambulance | 1004 Ella St Apt B, Anderson, SC 29621-4808 | 2020-02-13 |
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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 |
| 1609307586 | Secure Transportation Services | Ambulance | 5402 Old York Rd, Rock Hill, SC 29732-9592 | 2017-03-23 |
| 1184166308 | Kimberly Little | Ambulance | 3325 Carter Rd, Sumter, SC 29150-1700 | 2016-11-07 |
| Find all providers with the same taxonomy | ||||
| City | MYRTLE BEACH |
| Zip Code | 29572 |
Please comment or provide details below to improve the information on GUARDIAN MEDICAL TRANSIT, LLC.
| 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.