Active NPI
County of Edgefield Office of County Council
- Ambulance
- Walterboro, SC
National Provider Identifier
1922091172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 025
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060201000843 | SC | Part B Supplier - Ambulance Service Supplier | 9234143900 | Practice locations: Edgefield, SC; North Augusta, SC |
National Provider Directory
National Provider DirectoryLocations
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.