PORT CITY AMBULANCE SERVICE LLC (NPI# 1194200063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194200063 |
| Entity Type | Organization |
| Organization Name | PORT CITY AMBULANCE SERVICE LLC |
| Practice Address |
2357 N Highway 17 Ste 210 Mount Pleasant SC 29466-6853 |
| Mailing Address |
222 W Coleman Blvd Ste 124 Mount Pleasant SC 29464-3588 |
| Practice Telephone | 8438001112 |
| Practice Fax Number | 8439723040 |
| Mailing Telephone | 8438001112 |
| Mailing Fax Number | 8439723040 |
| Enumeration Date | 2018-09-26 |
| Last Update Date | 2019-01-15 |
| Authorized Official Name | MR. BRIAN E PEAGLER (MANAGING MEMBER) |
| Authorized Official Telephone | 8432702391 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | SC DHEC | 632 | 01 |
| Street Address |
2357 N HIGHWAY 17 STE 210 |
| City | MOUNT PLEASANT |
| State | SC |
| Zip Code | 29466-6853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689276 | Sweetgrass Pharmacy Carolina Park, LLC | Pharmacy | 3485 Park Avenue Blvd, Mount Pleasant, SC 29466 | 2020-11-02 |
| 1942836754 | Southern Grace Pain & Regenerative Medicine | Clinic/Center | 3520 Park Avenue Blvd., Suite 105, Mount Pleasant, SC 29466 | 2020-03-13 |
| 1174175038 | South Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 225 Faison Rd, Mount Pleasant, SC 29466 | 2019-07-11 |
| 1780246553 | Stacy Nicole Sherbutt | Dental Hygienist | Naval Weapons Statiom, 316 Red Bank Rd, Goose Creek, SC 29466 | 2019-07-02 |
| 1144780909 | Chantal Pilar Debreceny | Nurse Practitioner | 1167 Basketweave Drive, #204, Mount Pleasant, SC 29466 | 2019-03-20 |
| 1609364835 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 3525 Park Ave Blvd., Mount Pleasant, SC 29466 | 2018-04-24 |
| 1528561453 | Sea Island Medical Care | Clinic/Center | 2114 Highway 41, Suite 105, Mount Pleasant, SC 29466 | 2018-03-16 |
| 1992217707 | Kristina Estelle Johnson | Family Medicine | 2662, Lohr Dr, Mount Pleasant, SC 29466 | 2017-11-02 |
| 1801324181 | Collin T Weyer | Physical Therapist | 3301 Stockdale Street, Suite B, Mt. Pleasant, SC 29466 | 2017-05-31 |
| 1023467479 | Mariesa Eikevik | Physical Therapist | 3559 Franklin Tower Dr, Mount Pleasant, SC 29466 | 2016-06-07 |
| Find all providers in zip 29466 | ||||
| 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 |
|---|---|---|---|---|
| 1770640708 | Henry County Soldiers' and Sailors' Memorial Hospital | Ambulance | 407 South White Street, Mount Pleasant, IA 52641 | 2007-01-02 |
| 1518071927 | Village of Mount Pleasant | Ambulance | 3900 Old Green Bay Road, Mount Pleasant, WI 53403-9488 | 2006-08-19 |
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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 |
| 1043841844 | Atlas Ems LLC | Ambulance | 2260 Powdersville Rd, Easley, SC 29642-8921 | 2020-01-30 |
| 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 |
| 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 |
| 1184166308 | Kimberly Little | Ambulance | 3325 Carter Rd, Sumter, SC 29150-1700 | 2016-11-07 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT PLEASANT |
| Zip Code | 29466 |
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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.