Organization Active NPI

Fast Trac Transportation Inc

  • Land Ambulance
  • Columbia, SC
National Provider Identifier
1710316468
Registry record updated Nov 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
FAST TRAC TRANSPORTATION INC
Practice address
7340 Parklane Rd
204 G
Columbia, SC 29223-7644
Phone
(803) 419-8486
Fax
(803) 419-6361
NPI assigned
Nov 4, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2013

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

Authorized official

Name
Mr. Trevis RutledgeNPI 1295163236
Title
Owner
Phone
(803) 419-8486

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
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

7340 Parklane Rd
204 G
Columbia, SC 29223-7644

Mailing address

10 Southwark Cir
Columbia, SC 29223-5213
Phone (803) 419-8486

Other names 1

  • Fast Trac Ambulance Service Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140827000258 SC Part B Supplier - Ambulance Service Supplier 6608094099 Practice locations: Columbia, SC

National Provider Directory

National Provider Directory

Locations

7340 Parklane Rd
#204G
Columbia, SC 29223
Phone (803) 419-8486

2001 Assembly St
Ste 104
Columbia, SC 29201
Phone (803) 454-2600

201 Columbia Mall Blvd
Ste 121
Columbia, SC 29223
Phone (803) 419-8486

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": "1383523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383523200000",
    "number": "1710316468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 SOUTHWARK CIR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292235213",
            "telephone_number": "803-419-8486",
            "fax_number": "803-419-6361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7340 PARKLANE RD",
            "address_2": "204 G",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292237644",
            "telephone_number": "803-419-8486",
            "fax_number": "803-419-6361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAST TRAC TRANSPORTATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-04",
        "last_updated": "2013-11-04",
        "status": "A",
        "authorized_official_last_name": "RUTLEDGE",
        "authorized_official_first_name": "TREVIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-419-8486",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fast Trac Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2013; 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.