County of Kershaw

Primary specialty

AmbulanceTaxonomy code 341600000X

License

359 Issued in SC

Legal business name

COUNTY OF KERSHAW

Practice address

515 Walnut St
Camden, SC 29020-3649

Phone

(803) 438-3666

Fax

(803) 438-3777

NPI assigned

Jun 8, 2015

Last updated

Jun 27, 2016By 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

Vic Carpenter

Title

County Administrator

Phone

(803) 425-8220

Specialties & licenses 1

Addresses

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

Tax ID family

County of Kershaw2 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.

• County of Kershaw

  dba Fifth Judicial Circuit Solicitor's Office Treatment Program

  • Community/Behavioral Health Agency
  • Columbia, SC
  • NPI 1326421900
  NPD tax ID

Locations

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.

• Donnie Allen Trapp

  • Addiction (Substance Use Disorder) Counselor
  • Camden, SC
  • NPI 1235816034
  NPD

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

{
    "created_epoch": "1433721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466985600000",
    "number": "1598145237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1538",
            "city": "LUGOFF",
            "state": "SC",
            "postal_code": "290781538",
            "telephone_number": "803-438-3666",
            "fax_number": "803-438-3777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 WALNUT ST",
            "city": "CAMDEN",
            "state": "SC",
            "postal_code": "290203649",
            "telephone_number": "803-438-3666",
            "fax_number": "803-438-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF KERSHAW",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-08",
        "last_updated": "2016-06-27",
        "status": "A",
        "authorized_official_last_name": "CARPENTER",
        "authorized_official_first_name": "VIC",
        "authorized_official_title_or_position": "COUNTY ADMINISTRATOR",
        "authorized_official_telephone_number": "803-425-8220"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "SC",
            "license": "359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judiet Cooper, MASTER, MENTAL HEALT
• Donald J Copley, MD
• Christopher C Cornor, CRNA
• Quisto Ramone Costello
• Samantha Cotes
• Jason R Cox, RPH
• Lori Cox
• CSC Acquisition, LLC (Columbia Skin Clinic, LLC)
• Emily Campolong Culler, PA-C
• Tava T. Cunningham, PHARMD

• Ambulance in Camden, SC
• Providers in Camden, SC by specialty
• Ambulance in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2016; 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.