Coastal Ambulance LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

295 Issued in SC

Legal business name

COASTAL AMBULANCE LLC

Doing business as

Coastal Ambulance

Practice address

415 Robertson Blvd Ste B
Walterboro, SC 29488-5713

Phone

(888) 935-5525

NPI assigned

Nov 26, 2011

Last updated

Aug 3, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Vlastimil Smetka, M.D.NPI 1497974273

Title

Owner/Medical Director

Phone

(888) 935-5525

Specialties & licenses 1

Addresses

Other names 1

• Coastal Ambulance Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Vlastimil Smetka, MD

  • Family Medicine Physician
  • Walterboro, SC
  • NPI 1497974273
  NPD (past) Authorized official

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

{
    "created_epoch": "1322265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343952000000",
    "number": "1013284603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "478 CESSNA AVE",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294072245",
            "telephone_number": "404-695-8420",
            "fax_number": "864-643-2485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 ROBERTSON BLVD STE B",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294885713",
            "telephone_number": "888-935-5525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL AMBULANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-26",
        "last_updated": "2012-08-03",
        "status": "A",
        "authorized_official_last_name": "SMETKA",
        "authorized_official_first_name": "VLASTIMIL",
        "authorized_official_title_or_position": "OWNER/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "888-935-5525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "SC",
            "license": "295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashley Kate Cauthen, DMD
• Charleston Brace Company, LLC
• Charleston Cancer Center
• Charleston Family Center, LLC in Walterboro
• Linda Chipukites, M.S.
• Coastal Kids Dental & Braces
• Coastal Kids Dental,PA (Coastal Kids Dental & Braces)
• Coastal Life Ambulance, Inc.
• Coastal Medical Services LLC
• Cole L Lawson III, Inc (DBA Badcock & More Home Furniture)

• Land Ambulance in Walterboro, SC
• Providers in Walterboro, SC by specialty
• Land Ambulance in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2012; 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.