Horry County Government

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

037000 Issued in SC

Legal business name

HORRY COUNTY GOVERNMENT

Doing business as

Horry County Fire Rescue

Practice address

2560 Main St
Ste. 1
Conway, SC 29526-3756

Phone

(844) 292-2771

Fax

(914) 741-1325

NPI assigned

May 17, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Richard S Gerrald

Title

Division Chief

Phone

(843) 915-7057

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Horry County Fire Rescue Doing business as

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

Locations (25 of 26)

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445472000000",
    "number": "1700839370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 603246",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282603246",
            "telephone_number": "844-292-2771",
            "fax_number": "914-741-1325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2560 MAIN ST",
            "address_2": "STE. 1",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295263756",
            "telephone_number": "844-292-2771",
            "fax_number": "914-741-1325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORRY COUNTY GOVERNMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2015-10-22",
        "status": "A",
        "authorized_official_last_name": "GERRALD",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DIVISION CHIEF",
        "authorized_official_telephone_number": "843-915-7057",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "SC",
            "license": "037000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "502085",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Horry County Fire Rescue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kaylea Horacek, DO
• Erin Pamala Horne
• Horry County Comm on Alcohol & Drug Abuse (Shoreline Behavioral Health Services)
• Horry County Comm on Alcohol & Drug Abuse (Shoreline Behavioral Health Services)
• Horry County Disabilities & Special Needs Board
• Horry County Rescue Squad Inc
• Horry County Schools
• Miranda Colletta Horton, M.D.
• Elizabeth Patricia Hottell, LISW-CP
• William Houck

• Land Ambulance in Conway, SC
• Providers in Conway, 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 Oct 22, 2015; 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.