Organization Active NPI

Pamplico Rescue and Ambulance Service

  • Ambulance
  • Pamplico, SC
National Provider Identifier
1649512492
Registry record updated Dec 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
027 Issued in SC
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, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2014

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20130613000416 SC Part B Supplier - Ambulance Service Supplier 4688813116 Practice locations: Pamplico, SC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D2040164Pamplico Rescue and Ambulance SVC217 E Third Ave, Pamplico, SC 29583Certificate of waiverApr 23, 2028

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.