Organization Active NPI

Care 4 Medical Transport

  • Land Ambulance
  • Columbia, SC
National Provider Identifier
1750084067
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
CARE 4 MEDICAL TRANSPORT
Practice address
9330 Two Notch Rd Ste B
Columbia, SC 29223-6440
Phone
(803) 661-8897
NPI assigned
Mar 24, 2023
Last updated
Mar 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2023

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

Authorized official

Name
Ralphie Tyrone Smith Sr
Title
Director
Phone
(803) 661-8897

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Basic Emergency Medical Technician 146N00000X NU
Land Ambulance 3416L0300X NU Primary

Addresses

Primary practice location

9330 Two Notch Rd Ste B
Columbia, SC 29223-6440

Mailing address

9330 Two Notch Rd Ste B
Columbia, SC 29223-6440

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231228003931 SC Part B Supplier - Ambulance Service Supplier 2567812878 Practice locations: Columbia, SC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D2265505Care 4 Medical Transport LLC9330 Two Notch Road, Suite B, Columbia, SC 29223Certificate of waiverJul 27, 2028

National Provider Directory

National Provider Directory

Locations

9330 Two Notch Rd
Ste B
Columbia, SC 29223
Phone (803) 240-9866

NPI Registry JSON

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

{
    "created_epoch": "1679616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679875200000",
    "number": "1750084067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9330 TWO NOTCH RD STE B",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292236440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9330 TWO NOTCH RD STE B",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292236440",
            "telephone_number": "803-661-8897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE 4 MEDICAL TRANSPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-24",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A",
        "authorized_official_last_name": "SMITH SR",
        "authorized_official_first_name": "RALPHIE",
        "authorized_official_middle_name": "TYRONE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "803-661-8897"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.