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FAIRFIELD COUNTY EMERGENCY SERVICES NPI 1053391060


NPI Information

NPI: 1053391060
Provider Name: FAIRFIELD COUNTY EMERGENCY SERVICES

Doing Business As: FAIRFIELD COUNTY EMS

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 42D0897837

Address:
100 TIDEWATER DR N
WINNSBORO, SC
ZIP 29180
Phone: (803) 633-2187
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FAIRFIELD COUNTY EMERGENCY SERVICES is a land transport ambulance in Winnsboro, SC. FAIRFIELD COUNTY EMERGENCY SERVICES NPI is 1053391060. The provider is registered as an organization entity type.
The provider Is Doing Business As Fairfield County Ems.

The provider's business location address is:

100 TIDEWATER DR N
WINNSBORO, SC
ZIP 29180-345
Phone: (803) 633-2187

The provider's authorized official is Timothy Martin .
The authorized official title is Ems Director and has the following contact phone number (803) 633-2187.

The CLIA number assigned to this NPI record is 42D0897837 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/18/2006 and was last updated on 7/18/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13416L0300XAmbulanceLand TransportYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1420014MEDICAIDSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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