Organization Active NPI

Lee County Council

  • Ambulance
  • Bishopville, SC
National Provider Identifier
1326018490
Registry record updated Dec 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
121 Issued in SC
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

Updated by the provider on Dec 7, 2015

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P00005851OtherSCRAILROAD
AB0214MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050630001050 SC Part B Supplier - Ambulance Service Supplier 9830135771 Practice locations: Bishopville, SC

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.