Laurens County EMS

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

086 Issued in SC

Legal business name

LAURENS COUNTY EMS

Practice address

321 S Harper St
Laurens, SC 29360-3422

Phone

(864) 984-1574

Fax

(864) 984-0576

NPI assigned

Sep 25, 2006

Last updated

Sep 15, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kevin Uldrick

Title

Director of EMS

Phone

(864) 984-1574

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Tax ID family

Laurens County EMS2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Laurens County

  • State or Local Public Health Clinic/Center
  • Laurens, SC
  • NPI 1770652604
  NPD tax ID

Locations

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694736000000",
    "number": "1225138472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 391",
            "city": "LAURENS",
            "state": "SC",
            "postal_code": "293600391",
            "telephone_number": "864-984-1574",
            "fax_number": "864-984-0576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 S HARPER ST",
            "city": "LAURENS",
            "state": "SC",
            "postal_code": "293603422",
            "telephone_number": "864-984-1574",
            "fax_number": "864-984-0576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURENS COUNTY EMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A",
        "authorized_official_last_name": "ULDRICK",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "DIRECTOR OF EMS",
        "authorized_official_telephone_number": "864-984-1574"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "SC",
            "license": "086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "502290",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "406590451",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Kathryn Laforge, MSP, CCC-SLP
• Sara-Frances Lail, M.S., SSP, LPES
• Alicia Marie Lancaster, COTA/L, LMBT
• Laurens County
• Laurens County Disabilities and Special Needs Board (Pathwise)
• Laurens Dentistry, LLC
• Laurens Dentistry, LLC
• Laurens Drug Company ,LLC
• Laurens Drug Company, LLC
• Laurens Electric Cooperative

• Land Ambulance in Laurens, SC
• Providers in Laurens, SC by specialty
• Land Ambulance in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; 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.