Organization Active NPI

MGM Grand Transportation LLC

  • Non-emergency Medical Transport (VAN)
  • Loris, SC
National Provider Identifier
1629976485
Registry record updated Oct 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
MGM GRAND TRANSPORTATION LLC
Practice address
3341 Broad St
Loris, SC 29569-3019
Phone
(843) 756-0749
NPI assigned
Oct 29, 2026
Last updated
Oct 29, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2026

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

Authorized official

Name
Phillip McLean
Title
Mr.
Phone
(843) 756-0749

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X
Non-emergency Medical Transport (VAN) 343900000X Primary
Private Vehicle 347C00000X

Addresses

Primary practice location

3341 Broad St
Loris, SC 29569-3019

Mailing address

3341 Broad St
Loris, SC 29569-3019
Phone (843) 756-0749

National Provider Directory

National Provider Directory

Locations

3341 Broad St
Loris, SC 29569
Phone (843) 605-1608

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1793232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793232000000",
    "number": "1629976485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3341 BROAD ST",
            "city": "LORIS",
            "state": "SC",
            "postal_code": "295693019",
            "telephone_number": "843-756-0749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3341 BROAD ST",
            "city": "LORIS",
            "state": "SC",
            "postal_code": "295693019",
            "telephone_number": "843-756-0749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MGM GRAND TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-29",
        "last_updated": "2026-10-29",
        "certification_date": "2026-10-29",
        "status": "A",
        "authorized_official_last_name": "MCLEAN",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_title_or_position": "MR.",
        "authorized_official_telephone_number": "843-756-0749"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loris, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2026; 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.