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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LIFELINE AMBULANCE
NPI 1235434853
Ambulance in Lugoff, SC

Active since January 12, 2011CLIA 42D2092626 · Waiver
16 DOOLEY DR, LUGOFF, SC 29078(803) 438-3666(803) 438-3766 Get Directions Write a Review

NPPES record last updated: October 26, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Lifeline Ambulance NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIFELINE AMBULANCE (NPI 1235434853) is a healthcare organization registered as an ambulance in Lugoff, South Carolina and active in the NPI registry since January 2011. The organization holds a CLIA Waiver certificate valid through March 9, 2027 and lists Theresa Gladden, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1235434853
Entity TypeOrganization
Primary Taxonomy341600000X
Legal Business NameLIFELINE AMBULANCE
Location Address16 DOOLEY DRLugoff, SC 29078-8209
Mailing AddressPo Box 206Lugoff, SC 29078-0206 · (803) 438-3666 · Fax (803) 438-3777
Phone(803) 438-3666
Fax(803) 438-3766
Organization SubpartNo
Authorized OfficialTheresa GladdenBilling Manager · (803) 438-3666
Enumeration DateJanuary 12, 2011
Last NPPES UpdateOctober 26, 2026
NPPES CertifiedOctober 26, 2026
✔ NPI 1235434853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulanceTransportation Services
Taxonomy Code341600000X
Definition
An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane).
16 DOOLEY DR, Lugoff, SC 29078
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 42D2092626

Lifeline Ambulance · Lugoff, SC
Active · expires Mar 9, 2027
CLIA Number42D2092626
Laboratory TypeAmbulance
Certificate Effective DateMarch 10, 2025
Certificate Expiration DateMarch 9, 2027
Laboratory DirectorMr. Russ C. Cobb
Laboratory Phone(803) 243-2434
Laboratory LocationLifeline Ambulance16 Dooley Drive, Lugoff, SC 29078
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ground mileage, per statute mile A0425
Ground mileage per statute mile is a method of calculating the cost of transportation for medical services. It is used when a patient needs to be transported by ground ambulance. The cost is calculated per mile, from the pick-up location to the medical facility.
31,078 services121 patients
Ambulance service, basic life support, non-emergency transport, (bls) A0428
Basic Life Support (BLS) non-emergency ambulance service provides safe transportation for patients who don't need immediate medical attention. It includes monitoring vital signs, ensuring comfort, and administering basic care during transport.
3,345 services121 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lifeline Ambulance's NPI number?

The NPI number for Lifeline Ambulance is 1235434853. It was assigned to this organization in the NPPES registry on January 12, 2011.

Where is Lifeline Ambulance located?

Lifeline Ambulance is located at 16 Dooley Dr, Lugoff, SC 29078. The listed phone number is (803) 438-3666.

What is Lifeline Ambulance's specialty?

The primary specialty registered for this NPI is Ambulance with taxonomy code 341600000X.

Does Lifeline Ambulance hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2092626) is associated with this NPI, valid through March 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Lifeline Ambulance accept?

Health plans from BlueCross BlueShield of South Carolina list Lifeline Ambulance as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lifeline Ambulance was last updated on October 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.