Pee Dee Ambulance, LLC

Primary specialty

AmbulanceTaxonomy code 341600000X

License

208 Issued in SC

Legal business name

PEE DEE AMBULANCE, LLC

Practice address

1322 Broughton Blvd
Florence, SC 29501-6979

Phone

(843) 662-4600

Fax

(843) 673-0034

NPI assigned

Oct 24, 2007

Organization subpart

Yes

Parent organization

CAROLINA MEDCARE, INC.As reported in NPPES

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

Authorized official

Name

Mr. Henry M Turbeville Jr., PARAMEDIC

Title

Regional Director of Operations

Phone

(843) 495-7329

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Carolina MedCare, Pee Dee Region Other name

Part of

Carolina Medcare

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Carolina Medcare

  • Land Ambulance
  • Florence, SC
  • NPI 1740269141
  NPPES parent name

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193184000000",
    "number": "1710166970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6708",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295026708",
            "telephone_number": "843-662-8887",
            "fax_number": "843-662-9920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1322 BROUGHTON BLVD",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295016979",
            "telephone_number": "843-662-4600",
            "fax_number": "843-673-0034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEE DEE AMBULANCE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAROLINA MEDCARE, INC.",
        "enumeration_date": "2007-10-24",
        "last_updated": "2007-10-24",
        "status": "A",
        "authorized_official_last_name": "TURBEVILLE",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "REGIONAL DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "843-495-7329",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PARAMEDIC"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "SC",
            "license": "208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHEC AMBULANCE SERVICE",
            "identifier": "208",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolina MedCare, Pee Dee Region",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sushma Pavuluri, DO
• Michael Dupre Pavy, MD
• Charles Payne
• Bethany Pearson, PHARMD
• Brittany Pearson, HAS
• Pee Dee Cardiology Associates PA
• Pee Dee Chiropractic Family Health Center
• Pee Dee Coalition
• Pee Dee Community Action Partnership Head Start
• Pee Dee Gastroenterology Associates, P.a.

• Ambulance in Florence, SC
• Providers in Florence, SC by specialty
• Ambulance in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; 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.