Heart Star Medical Transportation

Primary specialty

AmbulanceTaxonomy code 341600000X

License

237 Issued in SC

Legal business name

HEART STAR MEDICAL TRANSPORTATION

Practice address

5 South Church Street
Summerton, SC 29148-0143

Phone

(803) 485-5203

Fax

(803) 485-5202

NPI assigned

Sep 7, 2007

Last updated

Feb 8, 2011By 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

Al Watson

Title

MGR

Phone

(803) 468-4194

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297123200000",
    "number": "1053506568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 143",
            "address_2": "5 SOUTH CHURCH STREET",
            "city": "SUMMERTON",
            "state": "SC",
            "postal_code": "291480143",
            "telephone_number": "803-485-5203",
            "fax_number": "803-485-5202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 SOUTH CHURCH STREET",
            "city": "SUMMERTON",
            "state": "SC",
            "postal_code": "291480143",
            "telephone_number": "803-485-5203",
            "fax_number": "803-485-5202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART STAR MEDICAL TRANSPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-07",
        "last_updated": "2011-02-08",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "AL",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "803-468-4194"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "SC",
            "license": "237",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AB0261",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clarendon Memorial Hosptial (Dr. J Daulton DuBose Medical Center)
• Clarendon One
• Michelle Clark
• Trina Topshe Corbett
• Firm Foundations Pediatric Therapy
• Jade Huang
• K & M Care PC
• Miranda Kerley, MSN, APRN, FNP-C
• David T Koon Jr., MD
• Bryant Lawson

• Ambulance in Summerton, SC
• Providers in Summerton, SC by specialty
• Ambulance in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2011; 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.