Fairfield County Emergency Services

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

FAIRFIELD COUNTY EMERGENCY SERVICES

Practice address

100 Tidewater Dr N
Winnsboro, SC 29180-7345

Phone

(803) 633-2187

NPI assigned

Jan 18, 2006

Organization subpart

No

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

Authorized official

Name

Timothy Martin

Title

EMS Director

Phone

(803) 633-2187

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• FAIRFIELD COUNTY EMS Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Fairfield County Emergency Services2 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.

• Lifeline of Fairfield

  • Customized Equipment (DME)
  • Winnsboro, SC
  • NPI 1477580959
  NPD tax ID

Locations

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689638400000",
    "number": "1053391060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 TIDEWATER DR N",
            "city": "WINNSBORO",
            "state": "SC",
            "postal_code": "291807345",
            "telephone_number": "843-633-2187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 TIDEWATER DR N",
            "city": "WINNSBORO",
            "state": "SC",
            "postal_code": "291807345",
            "telephone_number": "803-633-2187"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "108 US Hwy 321",
            "address_2": "Bypass N",
            "address_purpose": "LOCATION",
            "city": "Winnsboro",
            "state": "SC",
            "postal_code": "29180",
            "country_code": "US",
            "telephone_number": "803-237-2137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FAIRFIELD COUNTY EMERGENCY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-18",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "EMS DIRECTOR",
        "authorized_official_telephone_number": "803-633-2187"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "420014",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAIRFIELD COUNTY EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Catina Ellis-Patterson, CPRS, SAS
• Eye Associates of Winnsboro
• Fairfield Behavioral Health Services
• Fairfield County Council on Aging
• Fairfield County Disabilities and Special Needs Board
• Fairfield County Schools
• Fairfield Family Dentistry, LLC
• Fairfield Medical Associates, LLC
• Fairfield Memorial Hospital
• Fairfield Memorial Hospital

• Land Ambulance in Winnsboro, SC
• Providers in Winnsboro, SC by specialty
• Land Ambulance in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.