Organization Active NPI

Newberry County EMS

  • Land Ambulance
  • Newberry, SC
National Provider Identifier
1043246325
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
00071 Issued in SC
Legal business name
NEWBERRY COUNTY EMS
Practice address
2603 Evans St
Newberry, SC 29108-2941
Phone
(803) 405-0063
NPI assigned
Jun 25, 2006
Last updated
Mar 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2024

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

Authorized official

Name
John Doyle
Title
Cfo
Phone
(803) 405-7137

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 00071 SC Primary

Addresses

Primary practice location

2603 Evans St
Newberry, SC 29108-2941

Mailing address

2669 Kinard St
Newberry, SC 29108-2911
Phone (803) 276-7570

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070424000055 SC Part B Supplier - Ambulance Service Supplier 7719082569 Practice locations: Newberry, SC; Silverstreet, SC; Pomaria, SC; Prosperity, SC

National Provider Directory

National Provider Directory
Tax ID family
Newberry County EMS2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2603 Evans St
Newberry, SC 29108
Phone (803) 405-0063

241 Holloway St
Pomaria, SC 29126
Phone (803) 405-0063

149 Seibert Rd
Prosperity, SC 29127
Phone (803) 364-3153

1233 Main St
Silverstreet, SC 29145
Phone (803) 276-0094

NPI Registry JSON

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711065600000",
    "number": "1043246325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2669 KINARD ST",
            "city": "NEWBERRY",
            "state": "SC",
            "postal_code": "291082911",
            "telephone_number": "803-276-7570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2603 EVANS ST",
            "city": "NEWBERRY",
            "state": "SC",
            "postal_code": "291082941",
            "telephone_number": "803-405-0063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWBERRY COUNTY EMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A",
        "authorized_official_last_name": "DOYLE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "803-405-7137"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "SC",
            "license": "00071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newberry, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; 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.