Organization Active NPI

McCormick County EMS

  • Ambulance
  • McCormick, SC
National Provider Identifier
1992798250
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
210 Issued in SC
Legal business name
MCCORMICK COUNTY EMS
Practice address
608 S Mine St
MC Cormick, SC 29835-8000
Phone
(864) 852-2811
Fax
(864) 852-3435
NPI assigned
Aug 23, 2005
Last updated
Aug 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Authorized official

Name
Morgan Lane Katsapis, EMT
Title
Admin Assistant
Phone
(864) 852-2811

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 210 SC Primary

Addresses

Primary practice location

608 S Mine St
MC Cormick, SC 29835-8000

Mailing address

608 S Mine St
MC Cormick, SC 29835-8000
Phone (864) 852-2811

Other identifiers 1

IdentifierTypeStateIssuer
AB0095MedicaidSC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041015000896 SC Part B Supplier - Ambulance Service Supplier 7214997949 Practice locations: MC Cormick, SC; McCormick, SC; Plum Branch, SC

National Provider Directory

National Provider Directory

Locations

212 Augusta Street Ext
Mc Cormick, SC 29835
Phone (803) 465-2811

608 S Mine St
Mc Cormick, SC 29835
Phone (864) 852-2811

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": "1754956800000",
    "number": "1992798250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 S MINE ST",
            "city": "MC CORMICK",
            "state": "SC",
            "postal_code": "298358000",
            "telephone_number": "864-852-2811",
            "fax_number": "864-852-3435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 S MINE ST",
            "city": "MC CORMICK",
            "state": "SC",
            "postal_code": "298358000",
            "telephone_number": "864-852-2811",
            "fax_number": "864-852-3435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCORMICK COUNTY EMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-23",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A",
        "authorized_official_last_name": "KATSAPIS",
        "authorized_official_first_name": "MORGAN",
        "authorized_official_middle_name": "LANE",
        "authorized_official_title_or_position": "ADMIN ASSISTANT",
        "authorized_official_telephone_number": "864-852-2811",
        "authorized_official_credential": "EMT"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "SC",
            "license": "210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AB0095",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McCormick, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; 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.