Active NPI
Palmetto Medical Transportation, LLC
- Ambulance
- Orangeburg, SC
National Provider Identifier
1164022372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- PALMETTO MEDICAL TRANSPORTATION, LLC
- Practice address
- 161 Centre St
Orangeburg, SC 29115-6043 - Phone
- (803) 809-0022
- NPI assigned
- Oct 27, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Patrick O'Neill
- Title
- President/Owner
- Phone
- (716) 827-1980
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | Primary |
Addresses
Primary practice location
161 Centre St
Orangeburg, SC 29115-6043
Mailing address
161 Centre St
Orangeburg, SC 29115-6043
Phone (803) 809-0022
Other names 1
- Crescent Ambulance
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20211115000291 | SC | Part B Supplier - Ambulance Service Supplier | 7012306053 | Practice locations: Orangeburg, SC |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 42D2145426 | Palmetto Medical Transportation, LLC | Certificate of waiver | Mar 6, 2028 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603756800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1726185600000",
"number": "1164022372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "161 CENTRE ST",
"city": "ORANGEBURG",
"state": "SC",
"postal_code": "291156043",
"telephone_number": "803-809-0022",
"fax_number": "740-474-8172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "161 CENTRE ST",
"city": "ORANGEBURG",
"state": "SC",
"postal_code": "291156043",
"telephone_number": "803-809-0022"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PALMETTO MEDICAL TRANSPORTATION, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-27",
"last_updated": "2024-09-13",
"certification_date": "2024-09-13",
"status": "A",
"authorized_official_last_name": "O'NEILL",
"authorized_official_first_name": "PATRICK",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "716-827-1980",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Crescent Ambulance",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Crescent Ambulance",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Orangeburg, SC
- Palmetto Counseling of Orangeburg LLC
- Palmetto Endocrine Associates, Inc.
- Palmetto Health &Wellness/Oasis Skincare
- Palmetto Infectious Disease Physicians
- Palmetto Jolley Acres Operating LLC
- Palmetto Moon Anesthesia, LLC
- Palmetto Nephrology PA
- Palmetto Primary Care Physicians, LLC
- Palmetto Urology PA
- Palmetto Vascular Diagnostic LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.