Active NPI
County of Georgetown
- Ambulance
- Georgetown, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 029
- Legal business name
- COUNTY OF GEORGETOWN
- Practice address
- 3605 Highmarket St
Georgetown, SC 29440-4651 - Phone
- (843) 545-3271
- Fax
- (843) 545-3646
- NPI assigned
- Jan 24, 2007
- 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
- Anthony C Hucks, NREMT-P
- Title
- Assistant Chief of Operations
- Phone
- (843) 545-3139
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 029 | SC | Primary |
Addresses
Primary practice location
3605 Highmarket St
Georgetown, SC 29440-4651
Mailing address
3605 Highmarket St
Georgetown, SC 29440-4651
Phone (843) 545-3139
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500577 | Medicaid | SC |
Other names 1
- Georgetown County Fire/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 |
|---|---|---|---|---|
| O20060221000818 | SC | Part B Supplier - Ambulance Service Supplier | 7315953858 |
2 other NPIs on this enrollment Practice locations: Georgetown, SC; Murrells Inlet, SC; Pawleys Island, SC |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 42D2041012 | Georgetown County Fire/EMS | Certificate of waiver | May 14, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- County of Georgetown
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Ambulance
- Pawleys Island, SC
- NPI 1164869673
-
- Ambulance
- Murrells Inlet, SC
- NPI 1720425051
Locations
901 Maple St
Georgetown, SC 29440
Phone (843) 546-6101
Ownership & related parties
Subparts reporting this organization as parent 2
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Ambulance
- Pawleys Island, SC
- NPI 1164869673
-
- Ambulance
- Murrells Inlet, SC
- NPI 1720425051
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1369353600000",
"number": "1144375718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3605 HIGHMARKET ST",
"city": "GEORGETOWN",
"state": "SC",
"postal_code": "294404651",
"telephone_number": "843-545-3139",
"fax_number": "843-545-3646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3605 HIGHMARKET ST",
"city": "GEORGETOWN",
"state": "SC",
"postal_code": "294404651",
"telephone_number": "843-545-3271",
"fax_number": "843-545-3646"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COUNTY OF GEORGETOWN",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-24",
"last_updated": "2013-05-24",
"status": "A",
"authorized_official_last_name": "HUCKS",
"authorized_official_first_name": "ANTHONY",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "ASSISTANT CHIEF OF OPERATIONS",
"authorized_official_telephone_number": "843-545-3139",
"authorized_official_credential": "NREMT-P"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "SC",
"license": "029",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500577",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Georgetown County Fire/EMS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Georgetown, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2013; 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.