Organization Active NPI

Myrtle Beach Air, LLC

  • Land Ambulance
  • Conway, SC
National Provider Identifier
1770745358
Registry record updated Jun 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
254 Issued in SC
Legal business name
MYRTLE BEACH AIR, LLC
Practice address
1860 Gray Oaks Dr
Conway, SC 29526-7425
Phone
(843) 446-9263
Fax
(843) 399-7888
NPI assigned
Jun 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2011

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

Authorized official

Name
Harold Ricky Gunter
Title
Owner
Phone
(843) 446-9263

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Air Ambulance 3416A0800X 245 SC
Land Ambulance 3416L0300X 254 SC Primary

Addresses

Primary practice location

1860 Gray Oaks Dr
Conway, SC 29526-7425

Mailing address

1860 Gray Oaks Dr
Conway, SC 29526-7425
Phone (843) 446-9263

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308873600000",
    "number": "1770745358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 GRAY OAKS DR",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295267425",
            "telephone_number": "843-446-9263",
            "fax_number": "843-399-7888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 GRAY OAKS DR",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295267425",
            "telephone_number": "843-446-9263",
            "fax_number": "843-399-7888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYRTLE BEACH AIR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-25",
        "last_updated": "2011-06-24",
        "status": "A",
        "authorized_official_last_name": "GUNTER",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "RICKY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-446-9263"
    },
    "taxonomies": [
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": "SC",
            "license": "245",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "SC",
            "license": "254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2011; 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.