Healthcare Provider Details

I. General information

NPI: 1295728350
Provider Name (Legal Business Name): SUMTER COUNTY EMS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2005
Last Update Date: 01/06/2023
Certification Date: 01/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

131 E HAMPTON AVE
SUMTER SC
29150-4929
US

IV. Provider business mailing address

PO BOX 896142
CHARLOTTE NC
28289-6142
US

V. Phone/Fax

Practice location:
  • Phone: 803-436-2445
  • Fax: 803-436-2485
Mailing address:
  • Phone: 803-436-2445
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number133
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number133
License Number StateSC

VIII. Authorized Official

Name: MR. ROBERT ORION HINGST
Title or Position: EMS DIRECTOR
Credential: NRP, PARAMEDIC
Phone: 803-436-2445