Organization Active NPI

Roper St Francis Ancillary Services

Doing business as Roper Hospital LifeLink

  • Ambulance
  • North Charleston, SC
National Provider Identifier
1861131450
Registry record updated Jun 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
ROPER ST FRANCIS ANCILLARY SERVICES
Doing business as
Roper Hospital LifeLink
Practice address
5133 Rivers Ave
North Charleston, SC 29406-6338
Phone
(843) 402-1335
Fax
(843) 402-1228
NPI assigned
Jun 1, 2022
Last updated
Jun 20, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2022

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

Authorized official

Name
Kimberly Ralston
Title
Director/Authorized Official
Phone
(419) 996-5119

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary

Addresses

Primary practice location

5133 Rivers Ave
North Charleston, SC 29406-6338

Mailing address

5133 Rivers Ave
North Charleston, SC 29406-6338
Phone (843) 402-1335

Other names 1

  • Roper Hospital LifeLink Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220920002393 SC Part B Supplier - Ambulance Service Supplier 9830574342 Practice locations: North Charleston, SC

National Provider Directory

National Provider Directory
Tax ID family
Roper St Francis Ancillary Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1654041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655683200000",
    "number": "1861131450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5133 RIVERS AVE",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294066338",
            "telephone_number": "843-402-1335",
            "fax_number": "843-402-1228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5133 RIVERS AVE",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294066338",
            "telephone_number": "843-402-1335",
            "fax_number": "843-402-1228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROPER ST FRANCIS ANCILLARY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-01",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A",
        "authorized_official_last_name": "RALSTON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "DIRECTOR/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "419-996-5119"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roper Hospital LifeLink",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.