Springlake Medical Transport, LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

SPRINGLAKE MEDICAL TRANSPORT, LLC

Practice address

2904 S Highway 41
Mullins, SC 29574-5534

Phone

(843) 464-6700

Fax

(843) 464-6400

NPI assigned

Jun 16, 2014

Last updated

Jun 16, 2014By 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

Ms. Deborah Kaye Brown, NREMT

Title

Owner/Member

Phone

(843) 464-6700

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1402876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402876800000",
    "number": "1609280890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2904 S HIGHWAY 41",
            "city": "MULLINS",
            "state": "SC",
            "postal_code": "295745534",
            "telephone_number": "843-464-6700",
            "fax_number": "843-464-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2904 S HIGHWAY 41",
            "city": "MULLINS",
            "state": "SC",
            "postal_code": "295745534",
            "telephone_number": "843-464-6700",
            "fax_number": "843-464-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGLAKE MEDICAL TRANSPORT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-16",
        "last_updated": "2014-06-16",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "KAYE",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "843-464-6700",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NREMT"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stuart Alva Smith, M.D.
• Robert Benjamin Snipes, DMD
• South Carolina CVS Pharmacy LLC (CVS Pharmacy #03855)
• South Carolina Podiatric Physicians and Surgeons Group, LLC
• Daniel Jason Spivey
• Kenneth Carl Staples Jr., D.O.
• State of South Carolina (SC Dhec)
• Bobby Tanner
• Deidre Ann Tarte
• Chadwick V. Thomas, M.D.

• Land Ambulance in Mullins, SC
• Providers in Mullins, 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 16, 2014; 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.