NPIMap

Organization Active NPI

County of Georgetown

Doing business as Midway Fire Rescue

  • Ambulance
  • Pawley's Island, SC
National Provider Identifier
1164869673
Registry record updated May 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
135 Issued in SC
Legal business name
COUNTY OF GEORGETOWN
Doing business as
Midway Fire Rescue
Practice address
67 Saint Pauls PL
Pawleys Island, SC 29585-4330
Phone
(843) 545-3603
Fax
(843) 545-3242
NPI assigned
May 24, 2013
Last updated
May 24, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
COUNTY OF GEORGETOWNAs reported in NPPES

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
Carl Douglas Eggiman
Title
Fire Chief
Phone
(843) 545-3603

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 135 SC Primary

Addresses

Primary practice location

67 Saint Pauls PL
Pawleys Island, SC 29585-4330

Mailing address

67 Saint Pauls PL
Pawleys Island, SC 29585-4330
Phone (843) 545-3603

Other names 1

  • Midway Fire Rescue 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
This NPI is an additional NPI on the 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.

National Provider Directory

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

Other organizations with this tax ID 2

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1369353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369353600000",
    "number": "1164869673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 SAINT PAULS PL",
            "city": "PAWLEYS ISLAND",
            "state": "SC",
            "postal_code": "295854330",
            "telephone_number": "843-545-3603",
            "fax_number": "843-545-3242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 SAINT PAULS PL",
            "city": "PAWLEYS ISLAND",
            "state": "SC",
            "postal_code": "295854330",
            "telephone_number": "843-545-3603",
            "fax_number": "843-545-3242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF GEORGETOWN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF GEORGETOWN",
        "enumeration_date": "2013-05-24",
        "last_updated": "2013-05-24",
        "status": "A",
        "authorized_official_last_name": "EGGIMAN",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "843-545-3603"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "SC",
            "license": "135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midway Fire Rescue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pawley's Island, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.