Active NPI
Southern Ambulance Service LTD
- Land Ambulance
- North Augusta, SC
National Provider Identifier
1740585595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.