East Palmetto Ambulance Service LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

280 Issued in SC

Legal business name

EAST PALMETTO AMBULANCE SERVICE LLC

Practice address

3694 Greeleyville Hwy
Manning, SC 29102-6197

Phone

(803) 473-8000

Fax

(803) 473-8001

NPI assigned

Feb 7, 2011

Organization subpart

No

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

Authorized official

Name

Jason Lowder

Title

Director

Phone

(803) 473-8000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

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

{
    "created_epoch": "1297036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619568000000",
    "number": "1093011256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 GREELEYVILLE HWY",
            "city": "MANNING",
            "state": "SC",
            "postal_code": "291024418",
            "telephone_number": "803-460-8800",
            "fax_number": "843-549-3474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3694 GREELEYVILLE HWY",
            "city": "MANNING",
            "state": "SC",
            "postal_code": "291026197",
            "telephone_number": "803-473-8000",
            "fax_number": "803-473-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST PALMETTO AMBULANCE SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-07",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A",
        "authorized_official_last_name": "LOWDER",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "803-473-8000"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "SC",
            "license": "280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaquinda Addreina Dowdle, DNP, APRN, CNM
• Jessica Duke, LMSW
• Samantha Nicole Dukes, LPC
• Elizabeth Patrick Durant, PHARMD
• Robert S Eagerton Jr., M.D.
• Alyson Eve Eastep, APRN, CRNA
• Gamal A Elsaidi, DO
• Ava Marie English
• Hugh Wayne Epperson, R.PH
• Margaret Ashleigh Evans, PA

• Land Ambulance in Manning, SC
• Providers in Manning, 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 Apr 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.