Active NPI
Myrtle Beach Air, LLC
- Land Ambulance
- Conway, SC
National Provider Identifier
1770745358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 254
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.