Active NPI
County of Lancaster
- Land Ambulance
- Lancaster, SC
National Provider Identifier
1104820752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 040
- Legal business name
- COUNTY OF LANCASTER
- Practice address
- 2006 Pageland Highway
Lancaster, SC 29720 - Phone
- (803) 283-4134
- Fax
- (803) 283-2092
- NPI assigned
- Jun 10, 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
- Mr. Clayton L Catoe
- Title
- EMS Director
- Phone
- (803) 416-9901
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 040 SC | SC | |
| Land Ambulance | 3416L0300X | 040 | SC | Primary |
Addresses
Primary practice location
2006 Pageland Highway
Lancaster, SC 29720
Mailing address
P.O. Box 1809
Lancaster, SC 29721-1809
Phone (803) 283-4134
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500130 | Medicaid | SC |
Other names 1
- Lancaster County EMS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051011001190 | SC | Part B Supplier - Ambulance Service Supplier | 7113942889 | Practice locations: Lancaster, SC |
National Provider Directory
National Provider DirectoryLocations
3758 Charlotte Hwy
Lancaster, SC 29720
Phone (803) 283-4134
2044 Pageland Hwy
Lancaster, SC 29720
Phone (252) 210-9015
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118361600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1424649600000",
"number": "1104820752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 1809",
"city": "LANCASTER",
"state": "SC",
"postal_code": "297211809",
"telephone_number": "803-283-4134",
"fax_number": "803-283-2092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2006 PAGELAND HIGHWAY",
"city": "LANCASTER",
"state": "SC",
"postal_code": "29720",
"telephone_number": "803-283-4134",
"fax_number": "803-283-2092"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COUNTY OF LANCASTER",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-10",
"last_updated": "2015-02-23",
"status": "A",
"authorized_official_last_name": "CATOE",
"authorized_official_first_name": "CLAYTON",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "EMS DIRECTOR",
"authorized_official_telephone_number": "803-416-9901",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "SC",
"license": "040 SC",
"primary": false
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "SC",
"license": "040",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500130",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Lancaster County EMS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lancaster, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2015; 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.