Family Medical Transport LLC

Primary specialty

AmbulanceTaxonomy code 341600000X

License

165 Issued in SC

Legal business name

FAMILY MEDICAL TRANSPORT LLC

Practice address

1855 Belgrade Avenue
Charleston, SC 29407-5713

Phone

(843) 769-4280

Fax

(843) 225-4280

NPI assigned

Dec 12, 2006

Organization subpart

No

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

Authorized official

Name

Mr. David Baruch Abrams, ESQ

Title

Member Manager

Phone

(843) 276-5579

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114088234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 30488",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294170488",
            "telephone_number": "843-225-0460",
            "fax_number": "843-769-4555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 BELGRADE AVENUE",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294075713",
            "telephone_number": "843-769-4280",
            "fax_number": "843-225-4280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICAL TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ABRAMS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "BARUCH",
        "authorized_official_title_or_position": "MEMBER MANAGER",
        "authorized_official_telephone_number": "843-276-5579",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ESQ"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "SC",
            "license": "165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AB0208",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.