Riverside Ambulance Service, LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

256 Issued in SC

Legal business name

RIVERSIDE AMBULANCE SERVICE, LLC

Practice address

1 Business CT
Suite a
Aiken, SC 29801-4096

Phone

(803) 641-6434

Fax

(803) 641-6436

NPI assigned

Oct 21, 2009

Last updated

Mar 15, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Doug McDaniel

Title

Managing Partner

Phone

(803) 641-6434

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC, GA2 enrollments

Enrollment records 2

Locations

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

{
    "created_epoch": "1256083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268611200000",
    "number": "1679809990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BUSINESS CT",
            "address_2": "SUITE A",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298014096",
            "telephone_number": "803-641-6434",
            "fax_number": "803-641-6436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BUSINESS CT",
            "address_2": "SUITE A",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298014096",
            "telephone_number": "803-641-6434",
            "fax_number": "803-641-6436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE AMBULANCE SERVICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-21",
        "last_updated": "2010-03-15",
        "status": "A",
        "authorized_official_last_name": "MCDANIEL",
        "authorized_official_first_name": "DOUG",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "803-641-6434",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "SC",
            "license": "256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "Q353540001",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Irene Ringler, DMD PHD
• Salli Elisa Rish
• Jay W Rising, DC
• Heather Rittenhouse
• Carly Ritter, PT, DPT, OCS
• Robert L Buchanan III DMD
• Lori Rene Roberts, O D
• Mark A Roberts, MD
• Robinson Group Holdings, Inc. (Seniors Helping Seniors Aiken)
• Akaycha Vertis Robinson

• Land Ambulance in Aiken, SC
• Providers in Aiken, SC by specialty
• Land Ambulance in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.