COASTLINE AMBULANCE LLC
NPI 1275320855
Ambulance - Land Transport in Conway, SC
About Coastline Ambulance Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COASTLINE AMBULANCE LLC (NPI 1275320855) is a healthcare organization registered as a land transport in Conway, South Carolina and active in the NPI registry since April 2025. The organization holds a CLIA Waiver certificate valid through April 2, 2027 and lists Brent Matthew Johns, Co-owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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 42D2321383
Coastline Ambulance LLC · Conway, SCFrequently 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 Coastline Ambulance LLC's NPI number?
The NPI number for Coastline Ambulance LLC is 1275320855. It was assigned to this organization in the NPPES registry on April 24, 2025.
Where is Coastline Ambulance LLC located?
Coastline Ambulance LLC is located at 1400 Church St Ste 300B, Conway, SC 29526. The listed phone number is (843) 712-5767.
What is Coastline Ambulance LLC's specialty?
The primary specialty registered for this NPI is Ambulance, specializing in Land Transport, with taxonomy code 3416L0300X.
Does Coastline Ambulance LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 42D2321383) is associated with this NPI, valid through April 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Coastline Ambulance LLC was last updated on May 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.
# Coastline Ambulance Llc · NPI 1275320855
Land Transport organization in Conway, South Carolina. Organization record, active in the CMS NPPES registry since April 24, 2025.
## Identity
- **NPI:** 1275320855 (Entity type: Organization)
- **Enumerated:** April 24, 2025
- **Primary specialty:** Ambulance - Land Transport · taxonomy 3416L0300X
- **Also known as:** Coastline Ambulance LLC (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Brent Johns, CO-OWNER
## Practice location
- **Address:** 1400 CHURCH ST STE 300B, Conway, SC 29526-4159
- **Phone:** (843) 712-5767
## Record status
- **NPPES last updated:** May 5, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1275320855) · Data from the CMS NPPES public registry.