Organization Active NPI

Tristate Medical Services

  • Durable Medical Equipment & Medical Supplies
  • Travelers Rest, SC
National Provider Identifier
1952386773
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
TRISTATE MEDICAL SERVICES
Practice address
1017 Batson Rd
Travelers Rest, SC 29690-9075
Phone
(864) 483-0101
Fax
(864) 834-2200
NPI assigned
Dec 14, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Authorized official

Name
Mrs. Gwendolyn E Chambers
Title
Owner
Phone
(864) 483-0101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1017 Batson Rd
Travelers Rest, SC 29690-9075

Mailing address

1017 Batson Rd
Travelers Rest, SC 29690-9075
Phone (864) 483-0101

Other identifiers 2

IdentifierTypeStateIssuer
DE2606MedicaidSC
1952386773MedicaidSC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1952386773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 BATSON RD",
            "city": "TRAVELERS REST",
            "state": "SC",
            "postal_code": "296909075",
            "telephone_number": "864-483-0101",
            "fax_number": "864-834-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 BATSON RD",
            "city": "TRAVELERS REST",
            "state": "SC",
            "postal_code": "296909075",
            "telephone_number": "864-483-0101",
            "fax_number": "864-834-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRISTATE MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-14",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "CHAMBERS",
        "authorized_official_first_name": "GWENDOLYN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-483-0101",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DE2606",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1952386773",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Travelers Rest, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.