Organization Active NPI

Southern Ambulance Service LTD

  • Land Ambulance
  • North Augusta, SC
National Provider Identifier
1740585595
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
SOUTHERN AMBULANCE SERVICE LTD
Practice address
139 Edgefield Rd
North Augusta, SC 29841-2423
Phone
(706) 434-4000
Fax
(706) 396-2100
NPI assigned
Jan 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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

Authorized official

Name
Carey L Story
Title
Billing Manager
Phone
(706) 434-4018

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

139 Edgefield Rd
North Augusta, SC 29841-2423

Mailing address

4328 Wheeler Rd
Martinez, GA 30907-9740
Phone (706) 434-4000

Other names 1

  • South Star EMS Doing business as

National Provider Directory

National Provider Directory

Locations

681 Silver Bluff Rd
Ste 104
Aiken, SC 29803
Phone (803) 226-0241

139 Edgefield Rd
North Augusta, SC 29841
Phone (706) 434-4000

NPI Registry JSON

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

{
    "created_epoch": "1295913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699920000000",
    "number": "1740585595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4328 WHEELER RD",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309079740",
            "telephone_number": "706-434-4000",
            "fax_number": "706-396-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 EDGEFIELD RD",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298412423",
            "telephone_number": "706-434-4000",
            "fax_number": "706-396-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN AMBULANCE SERVICE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-25",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-09",
        "status": "A",
        "authorized_official_last_name": "STORY",
        "authorized_official_first_name": "CAREY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "706-434-4018"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Star EMS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "South Star EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Augusta, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; 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.