Active NPI
Suretrans LLC
- Ambulance
- Simpsonville, SC
National Provider Identifier
1598871576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 175
- Legal business name
- SURETRANS LLC
- Practice address
- 201 Fowler Rd
Simpsonville, SC 29681-3804 - Phone
- (864) 228-0248
- Fax
- (864) 963-2346
- NPI assigned
- Aug 22, 2006
- Last updated
- Jun 17, 2008
- 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. Jerry Neal Adcock, E.M.T.B.
- Title
- Owner
- Phone
- (864) 228-0248
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 175 | SC | Primary |
| Non-emergency Medical Transport (VAN) | 343900000X | 7023 | SC |
Addresses
Primary practice location
201 Fowler Rd
Simpsonville, SC 29681-3804
Mailing address
216 Chickamaugua LN
Simpsonville, SC 29681-3326
Phone (864) 228-0248
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213660800000",
"number": "1598871576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "216 CHICKAMAUGUA LN",
"city": "SIMPSONVILLE",
"state": "SC",
"postal_code": "296813326",
"telephone_number": "864-228-0248",
"fax_number": "864-963-2346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 FOWLER RD",
"city": "SIMPSONVILLE",
"state": "SC",
"postal_code": "296813804",
"telephone_number": "864-228-0248",
"fax_number": "864-963-2346"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SURETRANS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-22",
"last_updated": "2008-06-17",
"status": "A",
"authorized_official_last_name": "ADCOCK",
"authorized_official_first_name": "JERRY",
"authorized_official_middle_name": "NEAL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "864-228-0248",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "E.M.T.B."
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "SC",
"license": "175",
"primary": true
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "SC",
"license": "7023",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Simpsonville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.