Promed Ambulance Service, LLC

Primary specialty

AmbulanceTaxonomy code 341600000X

License

203 Issued in SC

Legal business name

PROMED AMBULANCE SERVICE, LLC

Practice address

203 E Boyce St
Manning, SC 29102-3409

Phone

(803) 478-6633

Fax

(803) 433-7460

NPI assigned

May 5, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Curtis McReece Welch I, PARAMEDIC

Title

Owner / Director / Ceo

Phone

(803) 478-6633

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710935036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1072 PARADISE RD",
            "address_2": "PO BOX 39",
            "city": "MANNING",
            "state": "SC",
            "postal_code": "291026704",
            "telephone_number": "803-478-6633",
            "fax_number": "803-433-7460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 E BOYCE ST",
            "city": "MANNING",
            "state": "SC",
            "postal_code": "291023409",
            "telephone_number": "803-478-6633",
            "fax_number": "803-433-7460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMED AMBULANCE SERVICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WELCH",
        "authorized_official_first_name": "CURTIS",
        "authorized_official_middle_name": "MCREECE",
        "authorized_official_title_or_position": "OWNER / DIRECTOR / CEO",
        "authorized_official_telephone_number": "803-478-6633",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "PARAMEDIC"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "SC",
            "license": "203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AB0238",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Cheryl D Ragin
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• Ambulance in Manning, SC
• Providers in Manning, SC by specialty
• Ambulance in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.