Organization Active NPI

Calhoun County EMS

  • Ambulance
  • Lexington, SC
National Provider Identifier
1013900257
Registry record updated Sep 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
032 Issued in SC
Legal business name
CALHOUN COUNTY EMS
Practice address
5005 Sunset Blvd
Lexington, SC 29072-9154
Phone
(803) 957-7111
Fax
(803) 957-7115
NPI assigned
Aug 23, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2007

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

Authorized official

Name
F Lee Prickett
Title
Jr Administrator
Phone
(803) 874-2485

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 032 SC Primary

Addresses

Primary practice location

5005 Sunset Blvd
Lexington, SC 29072-9154

Mailing address

201 Mill St
St Matthews, SC 29135-1340
Phone (803) 655-7625

Other identifiers 1

IdentifierTypeStateIssuer
AB0045MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051101000598 SC Part B Supplier - Ambulance Service Supplier 3577580232 Practice locations: St Matthews, SC

National Provider Directory

National Provider Directory

Locations

201 Mill St
St Matthews, SC 29135
Phone (803) 655-7625

NPI Registry JSON

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190246400000",
    "number": "1013900257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 MILL ST",
            "city": "ST MATTHEWS",
            "state": "SC",
            "postal_code": "291351340",
            "telephone_number": "803-655-7625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5005 SUNSET BLVD",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290729154",
            "telephone_number": "803-957-7111",
            "fax_number": "803-957-7115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALHOUN COUNTY EMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-23",
        "last_updated": "2007-09-20",
        "status": "A",
        "authorized_official_last_name": "PRICKETT",
        "authorized_official_first_name": "F",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "JR ADMINISTRATOR",
        "authorized_official_telephone_number": "803-874-2485"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "SC",
            "license": "032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AB0045",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.