Healthcare Provider Details

I. General information

NPI: 1902985484
Provider Name (Legal Business Name): CLEMSON UNIVERSITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/03/2006
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1521 PERIMETER RD FIRE STATION
CLEMSON SC
29634-4010
US

IV. Provider business mailing address

1521 PERIMETER RD
CLEMSON SC
29634-4010
US

V. Phone/Fax

Practice location:
  • Phone: 864-656-2242
  • Fax: 864-656-3555
Mailing address:
  • Phone: 864-656-2242
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number153
License Number StateSC

VIII. Authorized Official

Name: MR. AARON R BUNYEA
Title or Position: INTERIM FIRE CHIEF
Credential:
Phone: 864-643-7163