Active NPI
Calhoun County EMS
- Ambulance
- Lexington, SC
National Provider Identifier
1013900257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 032
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AB0045 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051101000598 | SC | Part B Supplier - Ambulance Service Supplier | 3577580232 | Practice locations: St Matthews, SC |
National Provider Directory
National Provider DirectoryLocations
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.