Organization Active NPI

Honea Path EMS

  • Ambulance
  • Honea Path, SC
National Provider Identifier
1700960564
Registry record updated Jul 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
005 Issued in SC
Legal business name
HONEA PATH EMS
Practice address
6 Gaines Rd
Honea Path, SC 29654-1306
Phone
(864) 369-0112
NPI assigned
Oct 25, 2006
Last updated
Jul 21, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2010

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

Authorized official

Name
Jeremy S Lee
Title
Asst Director
Phone
(864) 844-7422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 005 SC Primary

Addresses

Primary practice location

6 Gaines Rd
Honea Path, SC 29654-1306

Mailing address

204 S Main St
Honea Path, SC 29654-1523
Phone (864) 369-0112

Other identifiers 1

IdentifierTypeStateIssuer
AB0117MedicaidSC

National Provider Directory

National Provider Directory

Locations

204 S Main St
Honea Path, SC 29654

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": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279670400000",
    "number": "1700960564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 S MAIN ST",
            "city": "HONEA PATH",
            "state": "SC",
            "postal_code": "296541523",
            "telephone_number": "864-369-0112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 GAINES RD",
            "city": "HONEA PATH",
            "state": "SC",
            "postal_code": "296541306",
            "telephone_number": "864-369-0112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HONEA PATH EMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2010-07-21",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ASST DIRECTOR",
        "authorized_official_telephone_number": "864-844-7422"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "SC",
            "license": "005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AB0117",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honea Path, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.