NPIMap

Organization Active NPI

Shoreline Medical Transport

  • Land Ambulance
  • Ridgeland, SC
National Provider Identifier
1316207574
Registry record updated May 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
293 Issued in SC
Legal business name
SHORELINE MEDICAL TRANSPORT
Practice address
452 Browns Cove Rd
Suite B
Ridgeland, SC 29936-8164
Phone
(843) 645-9191
Fax
(843) 645-9198
NPI assigned
May 22, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2012

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

Authorized official

Name
Mr. Scot Parsick, RN
Title
Owner
Phone
(843) 645-9191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 293 SC Primary

Addresses

Primary practice location

452 Browns Cove Rd
Suite B
Ridgeland, SC 29936-8164

Mailing address

452 Browns Cove Rd
Suite B
Ridgeland, SC 29936-8164
Phone (843) 645-9191

Other identifiers 1

IdentifierTypeStateIssuer
1457639148MedicaidSC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1337644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337644800000",
    "number": "1316207574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "452 BROWNS COVE RD",
            "address_2": "SUITE B",
            "city": "RIDGELAND",
            "state": "SC",
            "postal_code": "299368164",
            "telephone_number": "843-645-9191",
            "fax_number": "843-645-9198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "452 BROWNS COVE RD",
            "address_2": "SUITE B",
            "city": "RIDGELAND",
            "state": "SC",
            "postal_code": "299368164",
            "telephone_number": "843-645-9191",
            "fax_number": "843-645-9198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORELINE MEDICAL TRANSPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-22",
        "last_updated": "2012-05-22",
        "status": "A",
        "authorized_official_last_name": "PARSICK",
        "authorized_official_first_name": "SCOT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-645-9191",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "SC",
            "license": "293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1457639148",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgeland, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.