WACCAMAW MEDICAL TRANSPORT, INC. (NPI# 1427234376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427234376 |
| Entity Type | Organization |
| Organization Name | WACCAMAW MEDICAL TRANSPORT, INC. |
| Other Organization Name | LIFESTAR |
| Practice Address |
3926 Wesley St Suite 202 Myrtle Beach SC 29579-7332 |
| Mailing Address |
1935 2nd Loop Rd Florence SC 29501-6173 |
| Practice Telephone | 8439035290 |
| Mailing Telephone | 8436628887 |
| Mailing Fax Number | 8436629920 |
| Enumeration Date | 2008-01-10 |
| Last Update Date | 2008-02-07 |
| Authorized Official Name | MR. THOMAS MAYNARD SEARS JR. (GENERAL COUNSEL) |
| Authorized Official Telephone | 8436628887 |
| Authorized Official Credential | JD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 341600000X | Ambulance | 5101266 | NC | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 4206858 | 05 |
| Other Name | Type Code |
|---|---|
| Lifestar | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487644316 | Waccamaw Medical Transport, Inc. | Ambulance | 3926 Wesley St, Suite 202, Myrtle Beach, SC 29579-7332 | 2005-10-22 |
| Street Address |
3926 WESLEY ST SUITE 202 |
| City | MYRTLE BEACH |
| State | SC |
| Zip Code | 29579-7332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487644316 | Waccamaw Medical Transport, Inc. | Ambulance | 3926 Wesley St, Suite 202, Myrtle Beach, SC 29579-7332 | 2005-10-22 |
| 1457782906 | Meditam Ambulance Service Inc | Secured Medical Transport (VAN) | 3926 Wesley St, Suite 103, Myrtle Beach, SC 29579-7332 | 2013-12-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598323198 | P & E Company | Counselor | 4105 Carolina Commercial Dr. Unit #2, Myrtle Beach, SC 29579 | 2019-05-30 |
| 1528624632 | Matthew Meehan | Nurse Practitioner | 4016 River Oaks Dr # 6511, Myrtle Beach, SC 29579 | 2019-05-14 |
| 1427518265 | Brian Donovan Doherty | Student in an Organized Health Care Education/Training Program | Grand Strand Medical Center 809 82nd Parkway, Gme Office, Myrtle Beach, SC 29579 | 2019-03-20 |
| 1508347931 | South Carolina Cvs Pharmacy LLC | Pharmacy | 578 International Dr, Myrtle Beach, SC 29579 | 2018-08-23 |
| 1497256176 | Orthosc LLC | Orthopaedic Surgery | 185 Fresh Dr Ste B, Myrtle Beach, SC 29579 | 2018-02-27 |
| 1740708981 | Dental Professional of South Carolina, P.C. | Dentist | 568 International Dr, Myrtle Beach, SC 29579 | 2017-09-08 |
| 1093232480 | Johnathan T Steppe | Dentist | 568 International Drive, Myrtle Beach, SC 29579 | 2017-08-25 |
| 1346638483 | Little River Medical Center, Inc | Clinic/Center | 4220 Carolina Exchange Blvd, Myrtle Beach, SC 29579 | 2014-12-23 |
| 1154726818 | Mina Gaid | Pharmacist | 1303 38th Avenue North, Myrtle Beach, SC 29579 | 2014-10-23 |
| 1528471364 | Paola Goyeneche | Counselor | 5015 Carolina Forest Blvd, Myrtle Beach, SC 29579 | 2014-06-10 |
| Find all providers in zip 29579 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1396794442 | Volunteer Rescue Squad of Myrtle Beach Inc | Ambulance | 3116 Shetland Ln Bldg Unit2425, Myrtle Beach, SC 29577 | 2006-05-08 |
| 1487644316 | Waccamaw Medical Transport, Inc. | Ambulance | 3926 Wesley St, Suite 202, Myrtle Beach, SC 29579-7332 | 2005-10-22 |
| 1275532855 | City of Myrtle Beach | Ambulance | 921b N Oak St, Myrtle Beach, SC 29577-3500 | 2005-07-18 |
| 1023582624 | Kenneth M. Thomas | Ambulance | 10838 Kings Rd Ste 25, Myrtle Beach, SC 29572-6070 | 2019-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164022372 | Palmetto Medical Transportation, LLC | Ambulance | 161 Centre St, Orangeburg, SC 29115-6043 | 2020-10-27 |
| 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 |
| 1871001693 | Med Way Ambulance Service, LLC | Ambulance | 1627 E Palmetto St, Florence, SC 29506 | 2018-01-15 |
| 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 |
| 1942756929 | Winstream International LLC. | Ambulance | 165 Seabrook Rd., Salters, SC 29590 | 2016-08-30 |
| Find all providers with the same taxonomy | ||||
| City | MYRTLE BEACH |
| Zip Code | 29579 |
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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.