Organization Active NPI

Laurens County

  • State or Local Public Health Clinic/Center
  • Laurens, SC
National Provider Identifier
1770652604
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X
License
086 Issued in SC
Legal business name
LAURENS COUNTY
Practice address
3 Catherine St
Laurens, SC 29360-5044
Phone
(864) 984-0143
Fax
(864) 984-5863
NPI assigned
Nov 7, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Tessa Moss Morgan
Title
EMS Billing Clerk
Phone
(864) 984-0143

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
State or Local Public Health Clinic/Center 261QP0905X 086 SC Primary

Addresses

Primary practice location

3 Catherine St
Laurens, SC 29360-5044

Mailing address

PO Box 1788
3 Catherine Street
Laurens, SC 29360-5044
Phone (864) 984-0143

Other identifiers 1

IdentifierTypeStateIssuer
502290MedicaidSC

Other names 1

  • Laurens County EMS Other name

National Provider Directory

National Provider Directory
Tax ID family
Laurens County EMS2 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.

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770652604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1788",
            "address_2": "3 CATHERINE STREET",
            "city": "LAURENS",
            "state": "SC",
            "postal_code": "293605044",
            "telephone_number": "864-984-0143",
            "fax_number": "864-984-5863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 CATHERINE ST",
            "city": "LAURENS",
            "state": "SC",
            "postal_code": "293605044",
            "telephone_number": "864-984-0143",
            "fax_number": "864-984-5863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURENS COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "TESSA",
        "authorized_official_middle_name": "MOSS",
        "authorized_official_title_or_position": "EMS BILLING CLERK",
        "authorized_official_telephone_number": "864-984-0143"
    },
    "taxonomies": [
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": "SC",
            "license": "086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "502290",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laurens County EMS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Laurens, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.