City of Hardeeville

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

CITY OF HARDEEVILLE

Practice address

30 Martin St
Hardeeville, SC 29927

Phone

(843) 784-3229

NPI assigned

Sep 28, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Michael Czymbor

Title

City Manager

Phone

(843) 784-2231

Specialties & licenses 1

Addresses

Other names 1

• HARDEEVILLE FIRE DEPARTMENT Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

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

{
    "created_epoch": "1695859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710374400000",
    "number": "1154100071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 609",
            "city": "HARDEEVILLE",
            "state": "SC",
            "postal_code": "299270609",
            "telephone_number": "843-784-2231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 MARTIN ST",
            "city": "HARDEEVILLE",
            "state": "SC",
            "postal_code": "29927",
            "telephone_number": "843-784-3229"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 Main St",
            "address_purpose": "LOCATION",
            "city": "Hardeeville",
            "state": "SC",
            "postal_code": "299275930",
            "country_code": "US",
            "telephone_number": "843-784-3229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CITY OF HARDEEVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-28",
        "last_updated": "2024-03-14",
        "certification_date": "2023-10-30",
        "status": "A",
        "authorized_official_last_name": "CZYMBOR",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CITY MANAGER",
        "authorized_official_telephone_number": "843-784-2231",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HARDEEVILLE FIRE DEPARTMENT",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HARDEEVILLE FIRE DEPARTMENT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Deborah Reese Casey
• Center for Digestive and Liver Health LLC
• Cep America LLC
• Ricky Chan
• Nicolette Charboneau
• Katie Elizabeth Clayton
• Clemson Sports Medicine and Rehabilitation Inc
• Clinical Lab Partners, LLC
• Coastal Carolina Family Medicine
• Coastal Carolina Medical Center Inc

• All providers in Hardeeville, SC
• Land Ambulance in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.