MEDSTAR AMBULANCE SERVICE, LLC
NPI 1639155112
Non-emergency Medical Transport (VAN) in Florence, SC
NPI Status: Active since December 16, 2005
Contact Information
1322 BROUGHTON BLVD
FLORENCE, SC
ZIP 29501
Phone: (843) 669-7827
Fax: (843) 669-3279
- Organization
- Non-emergency Medical Transport (VAN)
- CLIA Number: 42D2179185
- CLIA Cert. Type: Ambulance
- CLIA Exp. Date: 02-17-2028
About MEDSTAR AMBULANCE SERVICE, LLC
This page provides the complete NPI Profile along with additional information for Medstar Ambulance Service, Llc, a provider established in Florence, South Carolina operating as a Non-emergency Medical Transport (van). The healthcare provider is registered in the NPI registry with number 1639155112 assigned on December 2005. The practitioner's primary taxonomy code is 343900000X with license number 068 (SC). The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Tommy B Jones Paramedic (Ceo/owner)
- NPI
- 1639155112
- Provider Name
- MEDSTAR AMBULANCE SERVICE, LLC
- Entity Type
- Organization
- Location Address
- 1322 BROUGHTON BLVD FLORENCE, SC 29501
- Location Phone
- (843) 669-7827
- Location Fax
- (843) 669-3279
- Mailing Address
- 1322 BROUGHTON BLVD FLORENCE, SC 29501
- Mailing Phone
- (843) 669-7827
- Mailing Fax
- (843) 669-3279
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-16-2005
- Last Update Date
- 04-15-2011
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Non-emergency Medical Transport (VAN)
- Taxonomy Code
- 343900000X
- Type
- Transportation Services
- License No.
- 068
- License State
- SC
- Taxonomy Description
- A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| AB0203 | MEDICAID (05) | SC | |
| Q326750001 | MEDICARE PIN (08) | SC |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 42D2179185
- Facility Type
- Ambulance
- Certificate Effective Date
- February 18, 2026
- Certificate Expiration Date
- February 17, 2028
- Laboratory Director
- MR. JASON COOKE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Medstar Ambulance Service, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for MEDSTAR AMBULANCE SERVICE, LLC
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1639155112, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 58 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639155112, enumerated as an "organization" on December 16, 2005.
The provider is located at 1322 BROUGHTON BLVD FLORENCE, SC 29501 and the phone number is (843) 669-7827.
Non-emergency Medical Transport (VAN) with taxonomy code 343900000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
