Lifeline Ambulance

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

LIFELINE AMBULANCE

Practice address

16 Dooley Dr
Lugoff, SC 29078-8209

Phone

(803) 438-3666

Fax

(803) 438-3766

NPI assigned

Jan 12, 2011

Last updated

Oct 26, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Theresa Gladden

Title

Billing Manager

Phone

(803) 438-3666

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Lifeline Ambulance

Locations

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

{
    "created_epoch": "1294790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792972800000",
    "number": "1235434853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 206",
            "city": "LUGOFF",
            "state": "SC",
            "postal_code": "290780206",
            "telephone_number": "803-438-3666",
            "fax_number": "803-438-3777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 DOOLEY DR",
            "city": "LUGOFF",
            "state": "SC",
            "postal_code": "290788209",
            "telephone_number": "803-438-3666",
            "fax_number": "803-438-3766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELINE AMBULANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-12",
        "last_updated": "2026-10-26",
        "certification_date": "2026-10-26",
        "status": "A",
        "authorized_official_last_name": "GLADDEN",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "803-438-3666"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kershawhealth (KershawHealth Women's Care)
• Kershawhealth (KershawHealth Primary Care at Lugoff)
• Alexa Adams Knox
• Harry J Koutroulakis, D.M.D.
• Yolanda Laboy
• Lighthouse Therapeutics
• Lighthouse Therapeutics
• Lighthouse Transit
• McKenzie Elyse Lillia
• Kelly Ann Long, AU.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2026; 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.

Verify at the official NPI Registry.