MEDSHORE AMBULANCE SERVICE, LLC (NPI# 1891782595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891782595 |
| Entity Type | Organization |
| Organization Name | MEDSHORE AMBULANCE SERVICE, LLC |
| Other Organization Name | MEDSHORE AMBULANCE SERVICE |
| Practice Address |
1007 N Fant St Anderson SC 29621-4817 |
| Mailing Address |
Po Box 650458 Dallas TX 75265-0458 |
| Practice Telephone | 8642604600 |
| Practice Fax Number | 8642604575 |
| Mailing Telephone | 8445974911 |
| Mailing Fax Number | 8666872796 |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2020-05-29 |
| Authorized Official Name | MR. ROBERT A JEWELL (VP-REVENUE CYCLE) |
| Authorized Official Telephone | 8445974911 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 343900000X | Non-emergency Medical Transport (VAN) | 7241 | SC | Transportation Services |
| Y | 341600000X | Ambulance | 224 | SC | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 502236 | 05 |
| Other Name | Type Code |
|---|---|
| Guardian Ambulance | Doing Business As Name - Organization |
| Medshore Ambulance Service | Doing Business As Name - Organization |
| Street Address |
1007 N FANT ST |
| City | ANDERSON |
| State | SC |
| Zip Code | 29621-4817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114574241 | Kathryn L Harwick | Social Worker | 3030 Sc-81, Anderson, SC 29621 | 2019-08-22 |
| 1326517194 | Ashlea Bronwen Bates | Nurse Practitioner | 3424 Clemson Blvd., Anderson, SC 29621 | 2018-11-21 |
| 1770051708 | Bailee Vernon Mccarley | Nurse Practitioner | 800 Fant St, Anderson, SC 29621 | 2018-11-07 |
| 1790278893 | Morgan Cutts | Speech-Language Pathologist | 126 Broadbent Way, Suite A, Anderson, SC 29621 | 2018-06-13 |
| 1427546233 | Amanda Coker Burnette | Family Medicine | 3000 East Greenville Street, Suite 3700, Anderson, SC 29621 | 2018-04-26 |
| 1205342169 | Robert Allen Dameron Jr. | Orthopaedic Surgery | 130 Longview Drive, Anderson, SC 29621 | 2017-12-14 |
| 1578085411 | Michael Jason Bell | Contractor | 520 Hwy 29 Bypass N, Anderson, SC 29621 | 2017-07-12 |
| 1639629983 | Todd E. Hamilton | Dentist | 1112 Cornelia Road, Anderson, SC 29621 | 2016-10-11 |
| 1760939110 | Crystal Vaughn | Nurse Practitioner | Sac Anmed Health 2000 East Greenville Street, Anderson, SC 29621 | 2016-09-01 |
| 1992151328 | Veronica Williams | Non-emergency Medical Transport (VAN) | 2314 Old Williamston Road, Anderson, SC 29621 | 2016-05-04 |
| Find all providers in zip 29621 | ||||
| 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 |
|---|---|---|---|---|
| 1821503590 | Anderson Fire Protection District | Ambulance | 1925 Howard St, Anderson, CA 96007-3340 | 2017-12-04 |
| 1043252646 | Freeman Oak Hill Health System | Ambulance | 510 A Park St, Anderson, MO 64831 | 2006-06-11 |
| 1174993570 | Healthcare Service Management, LLC | Ambulance | 2725 Enterprise Dr, Anderson, IN 46013-9670 | 2015-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164022372 | Palmetto Medical Transportation, LLC | Ambulance | 161 Centre St, Orangeburg, SC 29115-6043 | 2020-10-27 |
| 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 |
| 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 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MEDSHORE AMBULANCE SERVICE, 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.