Active NPI
Medshore Ambulance Service
Doing business as Gold Cross Ambulance Service
- Ambulance
- West Columbia, SC
National Provider Identifier
1174621452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 183
- Legal business name
- MEDSHORE AMBULANCE SERVICE
- Doing business as
- Gold Cross Ambulance Service
- Practice address
- 3038 Leaphart Rd
West Columbia, SC 29169-3022 - Phone
- (803) 794-8107
- NPI assigned
- Sep 20, 2006
- Last updated
- Aug 22, 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. Greg L Shore
- Title
- Ceo
- Phone
- (864) 264-4600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 183 | SC | Primary |
Addresses
Primary practice location
3038 Leaphart Rd
West Columbia, SC 29169-3022
Mailing address
PO Box 2105
Anderson, SC 29622-2105
Phone (864) 260-4600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AB0226 | Medicaid | SC |
Other names 1
- Gold Cross Ambulance Service
National Provider Directory
National Provider Directory- Tax ID family
- Gold Cross Ambulance Service
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Locations
3038 Leaphart Rd
West Columbia, SC 29169
Phone (803) 794-8107
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1174621452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2105",
"city": "ANDERSON",
"state": "SC",
"postal_code": "296222105",
"telephone_number": "864-260-4600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3038 LEAPHART RD",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "291693022",
"telephone_number": "803-794-8107"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDSHORE AMBULANCE SERVICE",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-20",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SHORE",
"authorized_official_first_name": "GREG",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "864-264-4600",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "SC",
"license": "183",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "AB0226",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Gold Cross Ambulance Service",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in West Columbia, SC
- Med Mart Weco LLC (Medicine Mart of West Columbia (LTC))
- Med Mart Weco LLC (Medicine Mart of West Columbia)
- Medcare Express-Lexington, LLC (Medcare Urgent Care, West Columbia)
- Meditelecare of South Carolina LLC
- Megan Medlock
- Medsource Inc. (Medsource)
- Medtrex Rehabilitation Specialties
- Melissa A Meeks, PT
- Reena Mehta, OD
- Caleb Melton, PHARMD.
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.