Organization Active NPI

Med Way Ambulance Service, LLC

  • Ambulance
  • Florence, SC
National Provider Identifier
1871001693
Registry record updated Aug 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
MED WAY AMBULANCE SERVICE, LLC
Practice address
1627 E Palmetto St
Florence, SC 29506
Phone
(843) 407-6488
NPI assigned
Jan 15, 2018
Last updated
Aug 27, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2018

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

Authorized official

Name
Mr. Richard Wayne Lewis
Title
Owner
Phone
(843) 407-6488

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X NU Primary

Addresses

Primary practice location

1627 E Palmetto St
Florence, SC 29506

Mailing address

PO Box 4007
Florence, SC 29502-4007
Phone (843) 407-6488

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180509002392 SC Part B Supplier - Ambulance Service Supplier 7810251311 Practice locations: Florence, SC

National Provider Directory

National Provider Directory

Locations

1520 S Floyd Cir
Florence, SC 29501
Phone (843) 407-6488

1627 E Palmetto St
Florence, SC 29506
Phone (843) 407-6488

NPI Registry JSON

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

{
    "created_epoch": "1515974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535328000000",
    "number": "1871001693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4007",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295024007",
            "telephone_number": "843-407-6488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1627 E PALMETTO ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "29506",
            "telephone_number": "843-407-6488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED WAY AMBULANCE SERVICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-15",
        "last_updated": "2018-08-27",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-407-6488",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2018; 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.