Organization Active NPI

County of Edgefield Office of County Council

  • Ambulance
  • Walterboro, SC
National Provider Identifier
1922091172
Registry record updated Jul 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
025 Issued in SC
Legal business name
COUNTY OF EDGEFIELD OFFICE OF COUNTY COUNCIL
Practice address
237 Oakland Dr
Walterboro, SC 29488-4509
Phone
(843) 549-3444
Fax
(843) 549-3474
NPI assigned
Aug 23, 2005
Last updated
Jul 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2008

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

Authorized official

Name
Jewel Ann Plaxco
Title
Director
Phone
(803) 637-4092

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 025 SC Primary

Addresses

Primary practice location

237 Oakland Dr
Walterboro, SC 29488-4509

Mailing address

35 Star Rd
Edgefield, SC 29824-4209
Phone (803) 637-4092

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060201000843 SC Part B Supplier - Ambulance Service Supplier 9234143900 Practice locations: Edgefield, SC; North Augusta, SC

National Provider Directory

National Provider Directory

Locations

35 Star Rd
Edgefield, SC 29824
Phone (803) 637-4092

1879 W Martintown Rd
North Augusta, SC 29860
Phone (803) 814-1323

NPI Registry JSON

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215388800000",
    "number": "1922091172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 STAR RD",
            "city": "EDGEFIELD",
            "state": "SC",
            "postal_code": "298244209",
            "telephone_number": "803-637-4092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 OAKLAND DR",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294884509",
            "telephone_number": "843-549-3444",
            "fax_number": "843-549-3474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF EDGEFIELD OFFICE OF COUNTY COUNCIL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-23",
        "last_updated": "2008-07-07",
        "status": "A",
        "authorized_official_last_name": "PLAXCO",
        "authorized_official_first_name": "JEWEL",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "803-637-4092"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "SC",
            "license": "025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walterboro, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.