Active NPI
Transmed, LLC
- Land Ambulance
- Conway, SC
National Provider Identifier
1619922689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 225
- Legal business name
- TRANSMED, LLC
- Practice address
- 201 Daytona St
Conway, SC 29526-8386 - Phone
- (866) 343-7153
- Fax
- (757) 787-9436
- NPI assigned
- May 24, 2006
- 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. Matthew T Ellis
- Title
- Ar MGR.
- Phone
- (866) 343-7153
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 225 | SC | Primary |
Addresses
Primary practice location
201 Daytona St
Conway, SC 29526-8386
Mailing address
PO Box 538335
Atlanta, GA 30353-8335
Phone (866) 343-7153
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4203898 | Other | NC | NC MEDICAID |
| 590014290 | Other | RAILROAD MEDICARE | |
| AB0181 | Medicaid | SC |
National Provider Directory
National Provider DirectoryLocations
2107 S Fraser St
Georgetown, SC 29440
Phone (843) 545-7911
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1354752000000",
"number": "1619922689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 538335",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303538335",
"telephone_number": "866-343-7153",
"fax_number": "757-787-9436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 DAYTONA ST",
"city": "CONWAY",
"state": "SC",
"postal_code": "295268386",
"telephone_number": "866-343-7153",
"fax_number": "757-787-9436"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRANSMED, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-24",
"last_updated": "2012-12-06",
"status": "A",
"authorized_official_last_name": "ELLIS",
"authorized_official_first_name": "MATTHEW",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "AR MGR.",
"authorized_official_telephone_number": "866-343-7153",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "SC",
"license": "225",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NC MEDICAID",
"identifier": "4203898",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "590014290",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "AB0181",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Conway, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.