Organization Active NPI

County of Georgetown

  • Ambulance
  • Georgetown, SC
National Provider Identifier
1144375718
Registry record updated May 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
029 Issued in SC
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

Updated by the provider on May 24, 2013

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
500577MedicaidSC

Other names 1

  • Georgetown County Fire/EMS Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D2041012Georgetown County Fire/EMS3605 Highmarket Street, Georgetown, SC 29440Certificate of waiverMay 14, 2028

National Provider Directory

National Provider Directory
Tax ID family
County of Georgetown3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

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.

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.

Verify at the official NPI Registry.