Organization Active NPI

Heartline Transport Services, LLC

  • Land Ambulance
  • Florence, SC
National Provider Identifier
1548581333
Registry record updated Apr 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
HEARTLINE TRANSPORT SERVICES, LLC
Practice address
117 Conyers Ave
Florence, SC 29505-3160
Phone
(843) 413-0911
NPI assigned
Jun 16, 2010
Last updated
Apr 5, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2013

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

Authorized official

Name
Mr. D Kent Blackburn
Title
Managing Member
Phone
(843) 413-0911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X NU Primary

Addresses

Primary practice location

117 Conyers Ave
Florence, SC 29505-3160

Mailing address

PO Box 12669
Florence, SC 29504-2669
Phone (843) 413-0911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100727000843 SC Part B Supplier - Ambulance Service Supplier 1759414832 Practice locations: Cheraw, SC

National Provider Directory

National Provider Directory

Locations

122 2nd St
Cheraw, SC 29520
Phone (843) 253-5411

NPI Registry JSON

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

{
    "created_epoch": "1276646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365120000000",
    "number": "1548581333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12669",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295042669",
            "telephone_number": "843-413-0911",
            "fax_number": "843-669-8911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 CONYERS AVE",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295053160",
            "telephone_number": "843-413-0911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLINE TRANSPORT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-16",
        "last_updated": "2013-04-05",
        "status": "A",
        "authorized_official_last_name": "BLACKBURN",
        "authorized_official_first_name": "D",
        "authorized_official_middle_name": "KENT",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "843-413-0911",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2013; 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.