TOWN OF MONCKS CORNER NPI 1134898000

NPI Information

  • NPI: 1134898000
  • Provider Name: TOWN OF MONCKS CORNER
  • Classification: Emergency Medicine - 207PE0004X
  • Specialization: Emergency Medical Services
  • Entity Type: Organization
  • Address: 116 CAROLINA AVE
    MONCKS CORNER, SC
    ZIP 29461
  • Phone: (843) 719-7990

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NPI Details

TOWN OF MONCKS CORNER is an emergency medical services emergency medicine in Moncks Corner, SC. The provider is an emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. TOWN OF MONCKS CORNER NPI is 1134898000. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

116 CAROLINA AVE
MONCKS CORNER, SC
ZIP 29461-735
Phone: (843) 719-7990

The provider's authorized official is Robert Gass .
The authorized official title is Fire Chief and has the following contact phone number (843) 719-7991.

The enumeration date for this NPI number is 9/13/2021 and was last updated on 9/13/2021.

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
1207PE0004XEmergency MedicineEmergency Medical ServicesYes

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
1612OTHERSOUTH CAROLINAEMS AGENCY ID

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: 11/21/2025

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