Organization Active NPI

Transmed, LLC

  • Land Ambulance
  • Conway, SC
National Provider Identifier
1619922689
Registry record updated Dec 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
225 Issued in SC
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

Updated by the provider on Dec 6, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
4203898OtherNCNC MEDICAID
590014290OtherRAILROAD MEDICARE
AB0181MedicaidSC

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.