First Choice Ambulance, Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

221 Issued in SC

Legal business name

FIRST CHOICE AMBULANCE, INC.

Practice address

191 E Loop Rd
Lake City, SC 29560-2172

Phone

(843) 374-3890

Fax

(843) 374-3892

NPI assigned

Oct 18, 2006

Last updated

Aug 22, 2020By 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

Mr. James Anthony Woodberry III

Title

Ceo,Owner

Phone

(843) 374-3890

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376624171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 E LOOP RD",
            "city": "LAKE CITY",
            "state": "SC",
            "postal_code": "295602172",
            "telephone_number": "843-374-3890",
            "fax_number": "843-374-3892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 E LOOP RD",
            "city": "LAKE CITY",
            "state": "SC",
            "postal_code": "295602172",
            "telephone_number": "843-374-3890",
            "fax_number": "843-374-3892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CHOICE AMBULANCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WOODBERRY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "CEO,OWNER",
        "authorized_official_telephone_number": "843-374-3890",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "SC",
            "license": "221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AB0209",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Land Ambulance in Lake City, SC
• Providers in Lake City, SC by specialty
• Land Ambulance in South Carolina

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.