NPIMap

Organization Active NPI

Berkeley County EMS

Doing business as Berkeley County Emergency Medical Services

  • Land Ambulance
  • Moncks Corner, SC
National Provider Identifier
1457428146
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
031 Issued in SC
Legal business name
BERKELEY COUNTY EMS
Doing business as
Berkeley County Emergency Medical Services
Practice address
223 N. Live Oak Drive
Moncks Corner, SC 29461-9102
Phone
(843) 719-4180
Fax
(914) 741-1325
NPI assigned
Nov 29, 2006
Last updated
Nov 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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

Authorized official

Name
Michael Shirey
Title
Chief of EMS
Phone
(843) 934-1818

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 031 SC Primary

Addresses

Primary practice location

223 N. Live Oak Drive
Moncks Corner, SC 29461-9102

Mailing address

PO Box 6122
Moncks Corner, SC 29461-6120
Phone (843) 719-4371

Other identifiers 1

IdentifierTypeStateIssuer
502575MedicaidSC

Other names 1

  • Berkeley County Emergency Medical Services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050830000265 SC Part B Supplier - Ambulance Service Supplier 2860423845 Practice locations: Moncks Corner, SC

National Provider Directory

National Provider Directory
Tax ID family
Berkeley County Emergency Medical Services2 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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699228800000",
    "number": "1457428146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6122",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294616120",
            "telephone_number": "843-719-4371",
            "fax_number": "843-719-4117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 N. LIVE OAK DRIVE",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294619102",
            "telephone_number": "843-719-4180",
            "fax_number": "914-741-1325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERKELEY COUNTY EMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A",
        "authorized_official_last_name": "SHIREY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CHIEF OF EMS",
        "authorized_official_telephone_number": "843-934-1818"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "SC",
            "license": "031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "502575",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Berkeley County Emergency Medical Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Berkeley County Emergency Medical Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moncks Corner, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; 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.