NPIMap

Organization Active NPI

Clemson University

  • Land Ambulance
  • Clemson, SC
National Provider Identifier
1902985484
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
153 Issued in SC
Legal business name
CLEMSON UNIVERSITY
Practice address
1521 Perimeter Rd
Fire Station
Clemson, SC 29634-4010
Phone
(864) 656-2242
Fax
(864) 656-3555
NPI assigned
Nov 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Authorized official

Name
Mr. Aaron R Bunyea
Title
Interim Fire Chief
Phone
(864) 643-7163

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 153 SC Primary

Addresses

Primary practice location

1521 Perimeter Rd
Fire Station
Clemson, SC 29634-4010

Mailing address

1521 Perimeter Rd
Clemson, SC 29634-4010
Phone (864) 656-2242

Other identifiers 2

IdentifierTypeStateIssuer
P00778268OtherSCRAILROAD MEDICARE
AB0186MedicaidSC

Other names 1

  • Clemson University Fire and EMS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070206000594 SC Part B Supplier - Ambulance Service Supplier 1850393786 Practice locations: Clemson, SC

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Clemson University-Redfern Health Center8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Clemson UniversityWalhalla, SC, CCN 873807 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2019

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765843200000",
    "number": "1902985484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 PERIMETER RD",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "296344010",
            "telephone_number": "864-656-2242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 PERIMETER RD",
            "address_2": "FIRE STATION",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "296344010",
            "telephone_number": "864-656-2242",
            "fax_number": "864-656-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEMSON UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A",
        "authorized_official_last_name": "BUNYEA",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "INTERIM FIRE CHIEF",
        "authorized_official_telephone_number": "864-643-7163",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "SC",
            "license": "153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00778268",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AB0186",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clemson University Fire and EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clemson, SC

Sources for this page

Verify at the official NPI Registry.