Charleston County Government

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

0015 Issued in SC

Legal business name

CHARLESTON COUNTY GOVERNMENT

Doing business as

Charleston County EMS

Practice address

4045 Bridge View Dr
North Charleston, SC 29405-7464

Phone

(843) 202-6722

Fax

(843) 202-6712

NPI assigned

May 31, 2005

Organization subpart

No

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

Authorized official

Name

Jennifer Miller

Title

County Administrator

Phone

(843) 202-6712

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Charleston County EMS Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Charleston County Government

  • Substance Abuse Rehabilitation Facility
  • North Charleston, SC
  • NPI 1861496234

  1355300104

  Same PAC ID

Tax ID family

Charleston County Government2 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.

• Charleston County Government

  • Substance Abuse Rehabilitation Facility
  • North Charleston, SC
  • NPI 1861496234
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Charleston County Government

  • Substance Abuse Rehabilitation Facility
  • North Charleston, SC
  • NPI 1861496234
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• George Wallace Poleski

  • Basic Emergency Medical Technician
  • North Charleston, SC
  • NPI 1760331300
  NPD (past)

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544572800000",
    "number": "1376546788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100112",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292023112",
            "telephone_number": "843-202-3722",
            "fax_number": "888-965-4620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4045 BRIDGE VIEW DR",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294057464",
            "telephone_number": "843-202-6722",
            "fax_number": "843-202-6712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLESTON COUNTY GOVERNMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-31",
        "last_updated": "2018-12-12",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "COUNTY ADMINISTRATOR",
        "authorized_official_telephone_number": "843-202-6712"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "SC",
            "license": "0015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "501996",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "601154",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charleston County EMS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Charleston County EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Charleston Bracing, LLC
• Charleston Cancer Center PA
• Charleston Children'S Therapy Center, LLC
• Charleston Clinical & Health Services, Inc.
• Charleston Counseling LLC
• Charleston County Government
• Charleston Denture Center - Norht Charleston, P.C.
• Charleston Dermatology, PC
• Charleston ENT Associates, LLC
• Charleston Hyperbaric Medicine Inc.

• Land Ambulance in North Charleston, SC
• Providers in North Charleston, 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 Dec 12, 2018; 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.