Healthcare Provider Details

I. General information

NPI: 1871571505
Provider Name (Legal Business Name): BELTON EMERGENCY MEDICAL SERVICES BELTON EMS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/04/2006
Last Update Date: 04/03/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14515 HIGHWAY 20
BELTON SC
29627-8682
US

IV. Provider business mailing address

PO BOX 509
BELTON SC
29627-0509
US

V. Phone/Fax

Practice location:
  • Phone: 864-338-7555
  • Fax: 864-338-6267
Mailing address:
  • Phone: 864-338-7555
  • Fax: 864-338-5267

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number062
License Number StateSC

VIII. Authorized Official

Name: MR. MICHAEL SCOTT ROBINSON
Title or Position: DIRECTOR
Credential:
Phone: 864-338-9555