NPIMap

Organization Active NPI

Pendarvis Enterprise LLC

Doing business as Pendarvis Ambulance Service

  • Land Ambulance
  • Bowman, SC
National Provider Identifier
1023281607
Registry record updated Apr 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
087 Issued in SC
Legal business name
PENDARVIS ENTERPRISE LLC
Doing business as
Pendarvis Ambulance Service
Practice address
5877 Charleston Hwy
Bowman, SC 29018-8774
Phone
(803) 829-1231
Fax
(803) 829-1250
NPI assigned
Apr 4, 2008
Last updated
Apr 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2008

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

Authorized official

Name
Mr. David Wilson Pendarvis III
Title
Owner/Operator
Phone
(803) 829-1231

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 087 SC Primary

Addresses

Primary practice location

5877 Charleston Hwy
Bowman, SC 29018-8774

Mailing address

5877 Charleston Hwy
Bowman, SC 29018-8774
Phone (803) 829-1231

Other names 1

  • Pendarvis Ambulance Service Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1207267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207267200000",
    "number": "1023281607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5877 CHARLESTON HWY",
            "city": "BOWMAN",
            "state": "SC",
            "postal_code": "290188774",
            "telephone_number": "803-829-1231",
            "fax_number": "803-829-1250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5877 CHARLESTON HWY",
            "city": "BOWMAN",
            "state": "SC",
            "postal_code": "290188774",
            "telephone_number": "803-829-1231",
            "fax_number": "803-829-1250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENDARVIS ENTERPRISE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-04",
        "last_updated": "2008-04-04",
        "status": "A",
        "authorized_official_last_name": "PENDARVIS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "WILSON",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "803-829-1231",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "SC",
            "license": "087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pendarvis Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bowman, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2008; 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.