Pee Dee Medical Transport of Sumter

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

278 Issued in SC

Legal business name

PEE DEE MEDICAL TRANSPORT OF SUMTER

Doing business as

Upstate Medical Transport

Practice address

1881 S Highway 14
Greer, SC 29650-4729

Phone

(803) 840-4235

Fax

(803) 934-9425

NPI assigned

Jan 25, 2011

Last updated

Jan 25, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Charles Edward Middleton

Title

Cfo

Phone

(803) 840-4235

Specialties & licenses 1

Addresses

Other names 1

• Upstate Medical Transport Doing business as

Locations

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

{
    "created_epoch": "1295913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295913600000",
    "number": "1801191739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 HUNTERS POND DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292299003",
            "telephone_number": "803-840-4235",
            "fax_number": "803-934-9425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1881 S HIGHWAY 14",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296504729",
            "telephone_number": "803-840-4235",
            "fax_number": "803-934-9425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEE DEE MEDICAL TRANSPORT OF SUMTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-25",
        "last_updated": "2011-01-25",
        "status": "A",
        "authorized_official_last_name": "MIDDLETON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "803-840-4235",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "SC",
            "license": "278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Upstate Medical Transport",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.