Medstar Medical Transport

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

201199 Issued in SC

Legal business name

MEDSTAR MEDICAL TRANSPORT

Practice address

1322 Broughton Blvd
Florence, SC 29501-6979

Phone

(843) 669-7827

Fax

(843) 669-3279

NPI assigned

Oct 21, 2015

Last updated

May 25, 2016By 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

Mrs. Mary Blanche Jones

Title

Owner

Phone

(843) 669-7827

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1445385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464134400000",
    "number": "1821460502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1322 BROUGHTON BLVD",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295016979",
            "telephone_number": "843-669-7827",
            "fax_number": "843-669-3279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1322 BROUGHTON BLVD",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295016979",
            "telephone_number": "843-669-7827",
            "fax_number": "843-669-3279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSTAR MEDICAL TRANSPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-21",
        "last_updated": "2016-05-25",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "BLANCHE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-669-7827",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "SC",
            "license": "201199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medical University Hospital Authority (MUSC Health Jean & Hugh Leatherman Behavioral Care Pavilion)
• Medical University Hospital Authority (MUSC Health Florence Medical Center - Cedar Tower)
• Medical University of South Carolina (MUSC College of Dental Medicine)
• Medirn LLC
• Medstar Ambulance Service, LLC
• Medxpress of the Carolinas,LLC
• Medxpress Transport, LLC
• Amit Mehta, MD
• Rohit Mehta, MD
• Cheney Mell Meiere II, MD

• Land Ambulance in Florence, SC
• Providers in Florence, SC by specialty
• Land Ambulance in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2016; 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.