Active NPI
Qzo, Inc.
Doing business as Palmetto Ambulance Service
- Land Ambulance
- Aiken, SC
National Provider Identifier
1417957705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 028
- Legal business name
- QZO, INC.
- Doing business as
- Palmetto Ambulance Service
- Practice address
- 1552 Richland Ave W
Suite 310
Aiken, SC 29801-3255 - Phone
- (803) 502-0075
- Fax
- (803) 502-0091
- NPI assigned
- Jul 28, 2005
- Last updated
- Oct 11, 2007
- 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
- Mr. Keith E Stille
- Title
- President/Ceo
- Phone
- (706) 733-5001
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 028 | SC | Primary |
Addresses
Primary practice location
1552 Richland Ave W
Suite 310
Aiken, SC 29801-3255
Mailing address
1809 Gordon Hwy
Augusta, GA 30904-5636
Phone (706) 733-5001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AB0188 | Medicaid | SC |
Other names 1
- Palmetto Ambulance Service
National Provider Directory
National Provider DirectoryLocations
1809 Gordon Hwy
Augusta, GA 30904
1552 Richland Ave W
Ste 310
Aiken, SC 29801
Phone (803) 502-0075
1758 Airport Blvd
Cayce, SC 29033
Phone (803) 252-5552
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122508800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1192060800000",
"number": "1417957705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1809 GORDON HWY",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309045636",
"telephone_number": "706-733-5001",
"fax_number": "706-733-0900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1552 RICHLAND AVE W",
"address_2": "SUITE 310",
"city": "AIKEN",
"state": "SC",
"postal_code": "298013255",
"telephone_number": "803-502-0075",
"fax_number": "803-502-0091"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QZO, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-28",
"last_updated": "2007-10-11",
"status": "A",
"authorized_official_last_name": "STILLE",
"authorized_official_first_name": "KEITH",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "706-733-5001",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "SC",
"license": "028",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "AB0188",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Palmetto Ambulance Service",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Aiken, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.