Wilson Medical Transport

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

056 Issued in SC

Legal business name

WILSON MEDICAL TRANSPORT

Practice address

1943 Boyd Rd
Scranton, SC 29591

Phone

(877) 760-4968

Fax

(843) 407-7297

NPI assigned

Jun 17, 2008

Organization subpart

No

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

Authorized official

Name

Don E Wilson, NREMTP

Title

Director

Phone

(843) 325-5590

Specialties & licenses 3

Addresses

Other names 1

• WILSON MEDICAL TRANSPORT SERVICE Other name

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

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347580800000",
    "number": "1063673655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 414",
            "city": "SCRANTON",
            "state": "SC",
            "postal_code": "295910414",
            "telephone_number": "877-760-4968",
            "fax_number": "843-407-7297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1943 BOYD RD",
            "city": "SCRANTON",
            "state": "SC",
            "postal_code": "29591",
            "telephone_number": "877-760-4968",
            "fax_number": "843-407-7297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSON MEDICAL TRANSPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-17",
        "last_updated": "2012-09-14",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "DON",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "843-325-5590",
        "authorized_official_credential": "NREMTP"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "SC",
            "license": "056",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "SC",
            "license": "056",
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "SC",
            "license": "056",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WILSON MEDICAL TRANSPORT SERVICE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Megan Lowder Powell, SSP, LPES
• Tyquan Richardson
• Sweet Serenity Home
• T & E Community Resource Center
• Whitley Weatherford

• All providers in Scranton, SC
• Land Ambulance in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.