Healthcare Provider Details

I. General information

NPI: 1104820752
Provider Name (Legal Business Name): COUNTY OF LANCASTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2005
Last Update Date: 02/23/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2006 PAGELAND HIGHWAY
LANCASTER SC
29720
US

IV. Provider business mailing address

P.O. BOX 1809
LANCASTER SC
29721-1809
US

V. Phone/Fax

Practice location:
  • Phone: 803-283-4134
  • Fax: 803-283-2092
Mailing address:
  • Phone: 803-283-4134
  • Fax: 803-283-2092

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number040 SC
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number040
License Number StateSC

VIII. Authorized Official

Name: MR. CLAYTON L CATOE
Title or Position: EMS DIRECTOR
Credential:
Phone: 803-416-9901