LAKESIDE MEDICAL RESPONSE (NPI# 1811085657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811085657 |
Entity Type | Organization |
Organization Name | LAKESIDE MEDICAL RESPONSE |
Practice Address |
3658 S Irby St Florence SC 29505-5225 |
Practice Telephone | 8436297133 |
Practice Fax Number | 8436297233 |
Mailing Telephone | 8436297133 |
Mailing Fax Number | 8436297233 |
Enumeration Date | 2006-10-10 |
Last Update Date | 2020-08-26 |
Authorized Official Name | MRS. SHAMEEKA MCDUFFIE (OWNER) |
Authorized Official Telephone | 8436297133 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3416L0300X |
Ambulance Specialization: Land Transport |
234 | SC | Transportation Services |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528286374 | Lakeside Medical Response | Ambulance | 770 S Ron Mcnair Blvd, Unit A, Lake City, SC 29560-3824 | 2007-04-24 |
Street Address |
3658 S IRBY ST |
City | FLORENCE |
State | SC |
Zip Code | 29505-5225 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245745066 | Jessica Hayes | Counselor | 1414 West Evans Street, Florence, SC 29505 | 2017-12-04 |
1467989665 | Lelia Denise Mckay | Counselor | 181 E Evans Street, Florence, SC 29505 | 2017-05-18 |
1295187714 | Sarah Shaeffer | Community Health Worker | 3200 S. Irby St, South Florence Hgh School, Florence, SC 29505 | 2016-07-08 |
1548616097 | Lena Vaughn Bullock | Behavioral Analyst | 444 2nd Loop Rd, Florence, SC 29505 | 2016-05-13 |
1255700332 | Carmine J Gargano | Physical Therapist | 2360 Freedom Blvd Apt C8, Florence, SC 29505 | 2015-09-18 |
1417373440 | Megan Ann Roy | Occupational Therapist | 440 Second Loop Rd, Mcleod Pediatric Rehab, Florence, SC 29505 | 2014-03-14 |
1669807863 | Andrea Carrieri Thomas | Dentist | 1519 Heritage Lane, Florence, SC 29505 | 2013-09-06 |
1508203522 | Daniel Carl Skipper | Pathology | 805 Pamplico Hwy Ste B210, Florence, SC 29505 | 2013-05-31 |
1326482928 | Total Renal Care Inc | Clinic/Center | 1520 Flag Dr, Florence, SC 29505 | 2013-04-25 |
1346599743 | Haley Morgan Carter | Pharmacist | 513 Cricklewood Dr., Florence, SC 29505 | 2012-08-31 |
Find all providers in zip 29505 |
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.