Wilson Para-Transport

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

056 Issued in SC

Legal business name

WILSON PARA-TRANSPORT

Practice address

107 E Mill St
Kingstree, SC 29556-3427

Phone

(843) 939-1088

NPI assigned

Jun 18, 2012

Last updated

Jun 18, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kendra D Wilson, BSN

Title

Ceo

Phone

(843) 939-1088

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• WILSON PARA-TRANSPORT SERVICE Other name

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

{
    "created_epoch": "1339977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339977600000",
    "number": "1609139492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 662",
            "city": "KINGSTREE",
            "state": "SC",
            "postal_code": "295560662",
            "telephone_number": "843-939-1088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 E MILL ST",
            "city": "KINGSTREE",
            "state": "SC",
            "postal_code": "295563427",
            "telephone_number": "843-939-1088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSON PARA-TRANSPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-18",
        "last_updated": "2012-06-18",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "KENDRA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "843-939-1088",
        "authorized_official_credential": "BSN"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "SC",
            "license": "056",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "SC",
            "license": "056",
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "SC",
            "license": "7978",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHEC",
            "identifier": "056",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WILSON PARA-TRANSPORT SERVICE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Land Ambulance in Kingstree, SC
• Providers in Kingstree, SC by specialty
• Land Ambulance in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2012; 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.