Organization Active NPI

Suretrans LLC

  • Ambulance
  • Simpsonville, SC
National Provider Identifier
1598871576
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
175 Issued in SC
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.