LIFESTAR
NPI 1487644316
Ambulance in Myrtle Beach, SC

Q: What is Waccamaw Medical Transport, Inc.'s NPI number?

The NPI number for Waccamaw Medical Transport, Inc. is 1487644316. It was assigned to this organization in the NPPES registry on October 22, 2005. The provider is doing business as Lifestar.

Q: What is Waccamaw Medical Transport, Inc.'s specialty?

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

Active since October 22, 2005

3926 WESLEY ST, SUITE 202, MYRTLE BEACH, SC 29579(843) 903-5290(843) 903-4980 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Lifestar NPPES

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

LIFESTAR (NPI 1487644316) is a healthcare organization registered as an ambulance in Myrtle Beach, South Carolina and active in the NPI registry since October 2005. The organization lists Dedie J. Garren, Director Of Finance, as its authorized official.

NPPES Registry Identity

NPI1487644316

Entity TypeOrganization

Primary Taxonomy341600000X

Legal Business NameWACCAMAW MEDICAL TRANSPORT, INC.

Location Address3926 WESLEY ST, SUITE 202Myrtle Beach, SC 29579-7332

Mailing Address3926 Wesley St, Suite 202Myrtle Beach, SC 29579-7332 · (843) 903-5290 · Fax (843) 903-4980

Phone(843) 903-5290

Fax(843) 903-4980

Organization SubpartNo

Authorized OfficialDedie J. GarrenDirector Of Finance · (843) 997-1535

Enumeration DateOctober 22, 2005

Last NPPES UpdateAugust 22, 2020

✔ NPI 1487644316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulanceTransportation Services

Taxonomy Code341600000X

Licenses✔ Licensed in SC · 109✔ Licensed in NC · 1616

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).

3926 WESLEY ST, Myrtle Beach, SC 29579

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Other Names 1

Doing Business AsLifestar

Other Identifiers 1

MedicaidAB0206SC

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WACCAMAW MEDICAL TRANSPORT, INC.

Ambulance

3926 WESLEY ST, SUITE 202
MYRTLE BEACH, SC 29579

Horry County (843) 903-5290

MEDITAM AMBULANCE SERVICE INC

Ambulance (Land Transport)

3926 WESLEY ST, SUITE 103
MYRTLE BEACH, SC 29579

Horry County (843) 236-6001

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 Waccamaw Medical Transport, Inc.'s NPI number?

The NPI number for Waccamaw Medical Transport, Inc. is 1487644316. It was assigned to this organization in the NPPES registry on October 22, 2005. The provider is doing business as Lifestar.

Where is Waccamaw Medical Transport, Inc. located?

Waccamaw Medical Transport, Inc. is located at 3926 Wesley St Suite 202, Myrtle Beach, SC 29579. The listed phone number is (843) 903-5290.

What is Waccamaw Medical Transport, Inc.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Waccamaw Medical Transport, Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.