Active NPI
Pamplico Rescue and Ambulance Service
- Ambulance
- Pamplico, SC
National Provider Identifier
1649512492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 027
- Legal business name
- PAMPLICO RESCUE AND AMBULANCE SERVICE
- Practice address
- 217 E. Third Ave
Pamplico, SC 29583-0532 - Phone
- (843) 493-0457
- NPI assigned
- Mar 20, 2013
- Last updated
- Dec 16, 2014
- 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
- Mrs. Laura H Walkup
- Title
- Cfo
- Phone
- (843) 493-0457
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 027 | SC | Primary |
Addresses
Primary practice location
217 E. Third Ave
Pamplico, SC 29583-0532
Mailing address
PO Box 532
Pamplico, SC 29583-0532
Phone (843) 493-0457
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130613000416 | SC | Part B Supplier - Ambulance Service Supplier | 4688813116 | Practice locations: Pamplico, SC |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 42D2040164 | Pamplico Rescue and Ambulance SVC | Certificate of waiver | Apr 23, 2028 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363737600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1418688000000",
"number": "1649512492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 532",
"city": "PAMPLICO",
"state": "SC",
"postal_code": "295830532",
"telephone_number": "843-493-0457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "217 E. THIRD AVE",
"city": "PAMPLICO",
"state": "SC",
"postal_code": "295830532",
"telephone_number": "843-493-0457"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAMPLICO RESCUE AND AMBULANCE SERVICE",
"organizational_subpart": "NO",
"enumeration_date": "2013-03-20",
"last_updated": "2014-12-16",
"status": "A",
"authorized_official_last_name": "WALKUP",
"authorized_official_first_name": "LAURA",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "843-493-0457",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "SC",
"license": "027",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pamplico, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.