NPIMap

Organization Active NPI

Stateline Medical Transportation, LLC

  • Non-emergency Medical Transport (VAN)
  • Fort Mill, SC
National Provider Identifier
1659020071
Registry record updated Mar 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
STATELINE MEDICAL TRANSPORTATION, LLC
Practice address
819 Abilene LN
Fort Mill, SC 29715-5916
Phone
(803) 519-7177
NPI assigned
Mar 22, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2022

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

Authorized official

Name
Mrs. Demonica Dunifer, FNPNPI 1881175487
Title
Owner
Phone
(803) 519-7177

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

819 Abilene LN
Fort Mill, SC 29715-5916

Mailing address

PO Box 1442
Fort Mill, SC 29716
Phone (803) 519-7177

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1647907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647907200000",
    "number": "1659020071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1442",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "29716",
            "telephone_number": "803-519-7177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 ABILENE LN",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297155916",
            "telephone_number": "803-519-7177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATELINE MEDICAL TRANSPORTATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-22",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A",
        "authorized_official_last_name": "DUNIFER",
        "authorized_official_first_name": "DEMONICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-519-7177",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Mill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2022; 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.