Coastal Medical Transprt LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

3416L0300X Issued in SC

Legal business name

COASTAL MEDICAL TRANSPRT LLC

Practice address

6906 Hollybrook Cir
Florence, SC 29505-9291

Phone

(843) 347-2928

Fax

(843) 347-2928

NPI assigned

Apr 7, 2011

Last updated

Apr 7, 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. Ronald Scott Tompkins

Title

Owner/Manager

Phone

(843) 504-7450

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1302134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302134400000",
    "number": "1861781197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1744 BRIDGEWATER DR",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295268054",
            "telephone_number": "843-347-2928",
            "fax_number": "843-347-2928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6906 HOLLYBROOK CIR",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295059291",
            "telephone_number": "843-347-2928",
            "fax_number": "843-347-2928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL MEDICAL TRANSPRT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-07",
        "last_updated": "2011-04-07",
        "status": "A",
        "authorized_official_last_name": "TOMPKINS",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "843-504-7450",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "SC",
            "license": "3416L0300X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aric Matthew Clegg
• Virginia Lee Clyburn-Ipock, M.D.
• Cmi - Florence (Carter Clinic)
• Coastal Health, LLC
• Coastal Healthcare Resources Inc
• Geoffrey S Coates-Wynn, MD
• Darlynn Joann Coates, MACMHC, LPC/I
• Dana Rae Cockfield, M.S.
• Leslie Strickland Cockfield, PHARMD
• Adrianna Cody, PHARMD

• 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 Apr 7, 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.