City of Hanahan

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

16701 Issued in SC

Legal business name

CITY OF HANAHAN

Practice address

1255 Yeamans Hall Rd
Hanahan, SC 29410-2744

Phone

(843) 554-4221

NPI assigned

Jul 7, 2005

Last updated

Mar 22, 2021By 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

Michael Bargeron

Title

EMS Director

Phone

(843) 637-1740

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616371200000",
    "number": "1275530032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 BERKELEY SQUARE LN",
            "address_2": "PMB 81",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294452958",
            "telephone_number": "843-572-0155",
            "fax_number": "843-572-5584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 YEAMANS HALL RD",
            "city": "HANAHAN",
            "state": "SC",
            "postal_code": "294102744",
            "telephone_number": "843-554-4221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5826 Campbell St",
            "address_purpose": "LOCATION",
            "city": "Hanahan",
            "state": "SC",
            "postal_code": "294102718",
            "country_code": "US",
            "telephone_number": "843-554-4221 x1013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CITY OF HANAHAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A",
        "authorized_official_last_name": "BARGERON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "EMS DIRECTOR",
        "authorized_official_telephone_number": "843-637-1740"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "SC",
            "license": "16701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "502600",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kirt A Caton, MD
• Elizabeth M Celani, DMD
• Chadwick & Kolmodin (Modern Family Dentistry)
• Stephen C Chadwick, DMD
• Children's Hope Therapy Services, LLC
• Joseph Brian Clark, RPH
• Coastal Kids Dental
• Coastal Kids Dental & Braces
• Elizabeth Coats, OTD, OTR/L
• Benjamin Lapke Coenen, DDS

• Land Ambulance in Hanahan, SC
• Providers in Hanahan, 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 Mar 22, 2021; 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.