Medshore Ambulance Service, LLC

Primary specialty

AmbulanceTaxonomy code 341600000X

License

224 Issued in SC

Legal business name

MEDSHORE AMBULANCE SERVICE, LLC

Practice address

1011 Ella St
Anderson, SC 29621-4807

Phone

(864) 260-4600

Fax

(864) 260-4575

NPI assigned

Sep 29, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Robert A Jewell

Title

Chief Revenue Integration Officer

Phone

(844) 597-4911

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 3

• Guardian Ambulance Doing business as
• Medshore Ambulance Service Doing business as
• Port City Ambulance Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Medshore Ambulance Service

  • Ambulance
  • W Columbia, SC
  • NPI 1427098714

  O20040630000333

  Same enrollment

Tax ID family

Gold Cross Ambulance Service2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Medshore Ambulance Service

  • Ambulance
  • West Columbia, SC
  • NPI 1174621452
  NPD tax ID

Locations

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780358400000",
    "number": "1891782595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 650458",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752650458",
            "telephone_number": "844-597-4911",
            "fax_number": "866-687-2796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 ELLA ST",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296214807",
            "telephone_number": "864-260-4600",
            "fax_number": "864-260-4575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSHORE AMBULANCE SERVICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-29",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A",
        "authorized_official_last_name": "JEWELL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF REVENUE INTEGRATION OFFICER",
        "authorized_official_telephone_number": "844-597-4911",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "SC",
            "license": "224",
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "SC",
            "license": "7241",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "502236",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Guardian Ambulance",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Medshore Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Medshore Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Port City Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Medcare Urgent Care Center - Anderson LLC
• Medexpress Primary Care South Carolina, P.C.
• Medexpress Primary Care South Carolina, P.C.
• Medical Associates of Anderson,PC
• Medlife Internal Medicine and Primary Care, LLC
• John Thomas Meehan, M. D., M. S.
• Veronica Lynnette Meekins
• Matthew Thomas Meier
• Emily Elise Meigs, LPC
• Haley Melton

• Ambulance in Anderson, SC
• Providers in Anderson, SC by specialty
• Ambulance in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; 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.