Organization Active NPI

Qzo, Inc.

Doing business as Palmetto Ambulance Service

  • Land Ambulance
  • Aiken, SC
National Provider Identifier
1417957705
Registry record updated Oct 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
028 Issued in SC
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, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2007

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
AB0188MedicaidSC

Other names 1

  • Palmetto Ambulance Service Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.