Iron Pony Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

277 Issued in SC

Legal business name

IRON PONY INC

Doing business as

Trustus Medical Transport

Practice address

1065 Harbor Dr
West Columbia, SC 29169-3609

Phone

(803) 834-3200

Fax

(803) 791-1577

NPI assigned

Nov 30, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Jason Brandon Davis

Title

Director/Ceo

Phone

(803) 767-8733

Specialties & licenses 1

Addresses

Other names 1

• Trustus Medical Transport Doing business as

Locations

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

{
    "created_epoch": "1291075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291075200000",
    "number": "1043512866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 ELVINGTON LN",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290738875",
            "telephone_number": "803-767-8733",
            "fax_number": "803-791-1577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1065 HARBOR DR",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291693609",
            "telephone_number": "803-834-3200",
            "fax_number": "803-791-1577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRON PONY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-30",
        "last_updated": "2010-11-30",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "BRANDON",
        "authorized_official_title_or_position": "DIRECTOR/CEO",
        "authorized_official_telephone_number": "803-767-8733",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "SC",
            "license": "277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trustus Medical Transport",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Land Ambulance in West Columbia, SC
• Providers in West Columbia, 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 Nov 30, 2010; 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.