NPIMap

Organization Active NPI

Exodus Medical Transport of SC

  • Ambulance
  • Pamplico, SC
National Provider Identifier
1760927537
Registry record updated Mar 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
EXODUS MEDICAL TRANSPORT OF SC
Practice address
1117 W Highway 378
Pamplico, SC 29583-5346
Phone
(843) 601-9801
NPI assigned
Jan 3, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2020

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

Authorized official

Name
Jennifer Carraway
Title
Owner
Phone
(843) 601-9801

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary
Non-emergency Medical Transport (VAN) 343900000X

Addresses

Primary practice location

1117 W Highway 378
Pamplico, SC 29583-5346

Mailing address

1117 W Highway 378
Pamplico, SC 29583-5346
Phone (843) 601-9801

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1483401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584057600000",
    "number": "1760927537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 W HIGHWAY 378",
            "city": "PAMPLICO",
            "state": "SC",
            "postal_code": "295835346",
            "telephone_number": "843-601-9801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 W HIGHWAY 378",
            "city": "PAMPLICO",
            "state": "SC",
            "postal_code": "295835346",
            "telephone_number": "843-601-9801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXODUS MEDICAL TRANSPORT OF SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-03",
        "last_updated": "2020-03-13",
        "certification_date": "2020-03-13",
        "status": "A",
        "authorized_official_last_name": "CARRAWAY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-601-9801"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pamplico, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.