Provider Type Icon

MEDSTAR AMBULANCE SERVICE LLC NPI 1639155112


NPI Information

NPI: 1639155112
Provider Name: MEDSTAR AMBULANCE SERVICE, LLC
Classification: Non-emergency Medical Transport (VAN) - 343900000X
Entity Type: Organization
Address:
1322 BROUGHTON BLVD
FLORENCE, SC
ZIP 29501
Phone: (843) 669-7827
Get Directions

MEDSTAR AMBULANCE SERVICE, LLC is a non emergency medical transport van in Florence, SC. The provider is a land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. MEDSTAR AMBULANCE SERVICE, LLC NPI is 1639155112. The provider is registered as an organization entity type.

The provider's business location address is:

1322 BROUGHTON BLVD
FLORENCE, SC
ZIP 29501
Phone: (843) 669-7827
Fax: (843) 669-3279

The provider's authorized official is Tommy B Jones .
The authorized official title is Ceo/owner and has the following contact phone number (843) 669-7827.

The enumeration date for this NPI number is 12/16/2005 and was last updated on 4/15/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1343900000XNon-emergency Medical Transport (VAN)068SOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1AB0203MEDICAIDSOUTH CAROLINA
2Q326750001MEDICARE PINSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.