City of Myrtle Beach

Primary specialty

AmbulanceTaxonomy code 341600000X

License

158 Issued in SC

Legal business name

CITY OF MYRTLE BEACH

Doing business as

Myrtle Beach Fire Department

Practice address

500 Harrelson Blvd
Myrtle Beach, SC 29577-5399

Phone

(843) 918-1192

Fax

(843) 918-1204

NPI assigned

Jul 18, 2005

Organization subpart

No

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

Authorized official

Name

Tom Gwyer

Title

Fire Chief

Phone

(943) 918-1140

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Myrtle Beach Fire Department Doing business as

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

Locations

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780617600000",
    "number": "1275532855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 HARRELSON BLVD",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295775399",
            "telephone_number": "843-918-1192",
            "fax_number": "843-918-1204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 HARRELSON BLVD",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295775399",
            "telephone_number": "843-918-1192",
            "fax_number": "843-918-1204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF MYRTLE BEACH",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-18",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A",
        "authorized_official_last_name": "GWYER",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "943-918-1140"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "SC",
            "license": "158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "502959",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Myrtle Beach Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jerome David Ciancione, CRNA
• Nancy Anne Ciancione, CRNA
• Joseph David Cifelli, PTA
• Rachell Cimino
• Citadel Services, Inc
• Clarity Hospice of SC LLC
• Claritypoint Psychiatry & Wellness, LLC
• Ashley T. Clark, FNP-C
• Robert D Clark, R. PH.
• Summer Brooke Clark, PHARMD, RPH

• Ambulance in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Ambulance in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.