Organization Active NPI

Atlantic Coast Medical Transport LLC

  • Ambulance
  • Loris, SC
National Provider Identifier
1013165745
Registry record updated Aug 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
ATLANTIC COAST MEDICAL TRANSPORT LLC
Practice address
6198 B Red Bluff Rd
Loris, SC 29569-5382
Phone
(910) 234-0941
NPI assigned
Sep 6, 2008
Last updated
Aug 15, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Willis M Player
Title
Member
Phone
(910) 234-0941

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X SC Primary

Addresses

Primary practice location

6198 B Red Bluff Rd
Loris, SC 29569-5382

Mailing address

PO Box 1311
Loris, SC 29569-1311
Phone (910) 234-0941

National Provider Directory

National Provider Directory

Locations

926A Old Ocean Hwy
Bolivia, NC 28422
Phone (877) 315-8369

6190B Red BLF Rd
Loris, SC 29569
Phone (910) 234-0941

6198 Red Bluff Rd
#B
Loris, SC 29569
Phone (843) 365-4714

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1220659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408060800000",
    "number": "1013165745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1311",
            "city": "LORIS",
            "state": "SC",
            "postal_code": "295691311",
            "telephone_number": "910-234-0941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6198 B RED BLUFF RD",
            "city": "LORIS",
            "state": "SC",
            "postal_code": "295695382",
            "telephone_number": "910-234-0941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC COAST MEDICAL TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-06",
        "last_updated": "2014-08-15",
        "status": "A",
        "authorized_official_last_name": "PLAYER",
        "authorized_official_first_name": "WILLIS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "910-234-0941"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loris, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.