NPIMap

Organization Active NPI

Kershawhealth

  • Ambulance
  • Camden, SC
National Provider Identifier
1740344118
Registry record updated Oct 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
KERSHAWHEALTH
Practice address
1315 Roberts St
Camden, SC 29020-3737
Phone
(803) 432-4311
NPI assigned
Dec 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2012

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

Authorized official

Name
Mr. Donnie J Weeks
Title
Ceo
Phone
(803) 713-2065

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary

Addresses

Primary practice location

1315 Roberts St
Camden, SC 29020-3737

Mailing address

PO Box 7003
Camden, SC 29020-7003

Other identifiers 1

IdentifierTypeStateIssuer
420048MedicaidSC

Other names 1

  • AMBULANCE SERVICES Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350259200000",
    "number": "1740344118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7003",
            "city": "CAMDEN",
            "state": "SC",
            "postal_code": "290207003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 ROBERTS ST",
            "city": "CAMDEN",
            "state": "SC",
            "postal_code": "290203737",
            "telephone_number": "803-432-4311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERSHAWHEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2012-10-15",
        "status": "A",
        "authorized_official_last_name": "WEEKS",
        "authorized_official_first_name": "DONNIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "803-713-2065",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "420048",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AMBULANCE SERVICES",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Camden, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2012; 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.