Active NPI
Lee County Council
- Ambulance
- Bishopville, SC
National Provider Identifier
1326018490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 121
- Legal business name
- LEE COUNTY COUNCIL
- Practice address
- 130 Industrial Blvd
Bishopville, SC 29010-2037 - Phone
- (803) 483-5000
- Fax
- (803) 483-5001
- NPI assigned
- Jan 23, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Lisa Dubose
- Title
- Billing Manager
- Phone
- (803) 483-5000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 121 | SC | Primary |
Addresses
Primary practice location
130 Industrial Blvd
Bishopville, SC 29010-2037
Mailing address
PO Box 927
Bishopville, SC 29010
Phone (803) 483-5000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00005851 | Other | SC | RAILROAD |
| AB0214 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050630001050 | SC | Part B Supplier - Ambulance Service Supplier | 9830135771 | Practice locations: Bishopville, SC |
National Provider Directory
National Provider DirectoryLocations
130 Industrial Blvd
Bishopville, SC 29010
Phone (803) 428-4217
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137974400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1449446400000",
"number": "1326018490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 927",
"city": "BISHOPVILLE",
"state": "SC",
"postal_code": "29010",
"telephone_number": "803-483-5000",
"fax_number": "803-483-5001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 INDUSTRIAL BLVD",
"city": "BISHOPVILLE",
"state": "SC",
"postal_code": "290102037",
"telephone_number": "803-483-5000",
"fax_number": "803-483-5001"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEE COUNTY COUNCIL",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-23",
"last_updated": "2015-12-07",
"status": "A",
"authorized_official_last_name": "DUBOSE",
"authorized_official_first_name": "LISA",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "803-483-5000",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "SC",
"license": "121",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD",
"identifier": "P00005851",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "AB0214",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bishopville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2015; 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.