Active NPI
Medserv Amt
- Air Ambulance
- Columbia, SC
National Provider Identifier
1396749206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Air Ambulance
- Legal business name
- MEDSERV AMT
- Practice address
- 5 Richland Medical Park Dr
Columbia, SC 29203-8000 - Phone
- (803) 434-7222
- NPI assigned
- Jun 8, 2005
- 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
- Matthew Smith
- Title
- Director - Patient Accounts
- Phone
- (816) 431-5791
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Air Ambulance | 3416A0800X | SC | Primary |
Addresses
Primary practice location
5 Richland Medical Park Dr
Columbia, SC 29203-8000
Mailing address
PO Box 170
Platte City, MO 64079-0170
Phone (816) 903-4314
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4206794 | Medicaid | NC | |
| AB0199 | Medicaid | SC |
Other names 1
- Careforce
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118188800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1396749206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 170",
"city": "PLATTE CITY",
"state": "MO",
"postal_code": "640790170",
"telephone_number": "816-903-4314",
"fax_number": "816-431-4973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 RICHLAND MEDICAL PARK DR",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292038000",
"telephone_number": "803-434-7222"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDSERV AMT",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-08",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "MATTHEW",
"authorized_official_title_or_position": "DIRECTOR - PATIENT ACCOUNTS",
"authorized_official_telephone_number": "816-431-5791"
},
"taxonomies": [
{
"code": "3416A0800X",
"taxonomy_group": "",
"desc": "Ambulance, Air Transport",
"state": "SC",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4206794",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "AB0199",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Careforce",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Columbia, SC
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.