Active NPI
County of Jasper
- Land Ambulance
- Ridgeland, SC
National Provider Identifier
1255333548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 123
- Legal business name
- COUNTY OF JASPER
- Doing business as
- Jasper County Fire & EMS
- Practice address
- 1509 Grays Hwy
Ridgeland, SC 29936-5441 - Phone
- (843) 726-7607
- Fax
- (843) 726-7784
- NPI assigned
- Jun 1, 2005
- Organization subpart
- Yes
- Parent organization
- COUNTY OF JASPER
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andrew Fulghum
- Title
- County Administrator
- Phone
- (843) 726-7607
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 123 | SC | Primary |
Addresses
Primary practice location
1509 Grays Hwy
Ridgeland, SC 29936-5441
Mailing address
1509 Grays Hwy
Ridgeland, SC 29936-5441
Phone (843) 726-7607
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 502389 | Medicaid | SC | |
| 590010635 | Other | RAILROADMEDICARE |
Other names 1
- Jasper 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 |
|---|---|---|---|---|
| O20051011001152 | SC | Part B Supplier - Ambulance Service Supplier | 0143245803 | Practice locations: Ridgeland, SC |
National Provider Directory
National Provider Directory- Part of
- County of Jasper
Locations
1509 Grays Hwy
Ridgeland, SC 29936
Phone (843) 726-7607
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117584000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1769644800000",
"number": "1255333548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1509 GRAYS HWY",
"city": "RIDGELAND",
"state": "SC",
"postal_code": "299365441",
"telephone_number": "843-726-7607",
"fax_number": "336-200-7069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1509 GRAYS HWY",
"city": "RIDGELAND",
"state": "SC",
"postal_code": "299365441",
"telephone_number": "843-726-7607",
"fax_number": "843-726-7784"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COUNTY OF JASPER",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "COUNTY OF JASPER",
"enumeration_date": "2005-06-01",
"last_updated": "2026-01-29",
"certification_date": "2026-01-29",
"status": "A",
"authorized_official_last_name": "FULGHUM",
"authorized_official_first_name": "ANDREW",
"authorized_official_title_or_position": "COUNTY ADMINISTRATOR",
"authorized_official_telephone_number": "843-726-7607"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "SC",
"license": "123",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "502389",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROADMEDICARE",
"identifier": "590010635",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Jasper County Fire & EMS",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Ridgeland, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2026; 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.