NPIMap

Organization Active NPI

360 Medical

  • Durable Medical Equipment & Medical Supplies
  • Mount Pleasant, SC
National Provider Identifier
1538568340
Registry record updated Nov 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
360 MEDICAL
Practice address
1011 Lake Hunter Cir
Suite 105
Mount Pleasant, SC 29464-5418
Phone
(843) 606-3500
Fax
(843) 737-8190
NPI assigned
Aug 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2016

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

Authorized official

Name
Mr. Andrew Davis
Title
Cfo
Phone
(843) 606-3500

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Prosthetic/Orthotic Supplier 335E00000X

Addresses

Primary practice location

1011 Lake Hunter Cir
Suite 105
Mount Pleasant, SC 29464-5418

Mailing address

1011 Lake Hunter Cir
Suite 105
Mount Pleasant, SC 29464-5418
Phone (843) 606-3500

National Provider Directory

National Provider Directory

Locations

1011 Lake Hunter Cir
Ste 105
Mount Pleasant, SC 29464
Phone (843) 606-3500

NPI Registry JSON

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

{
    "created_epoch": "1408320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478563200000",
    "number": "1538568340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 LAKE HUNTER CIR",
            "address_2": "SUITE 105",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294645418",
            "telephone_number": "843-606-3500",
            "fax_number": "843-737-8190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 LAKE HUNTER CIR",
            "address_2": "SUITE 105",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294645418",
            "telephone_number": "843-606-3500",
            "fax_number": "843-737-8190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "360 MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-18",
        "last_updated": "2016-11-08",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "843-606-3500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2016; 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.