Healthcare Provider Details
I. General information
NPI: 1720052723
Provider Name (Legal Business Name): UNION COUNTY EMS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/15/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
220 W MAIN ST
UNION SC
29379
US
IV. Provider business mailing address
PO BOX 1245
WALTERBORO SC
29488
US
V. Phone/Fax
- Phone: 864-429-2525
- Fax: 864-429-2517
- Phone: 843-549-3444
- Fax: 843-549-3474
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3416L0300X |
| Taxonomy | Land Ambulance |
| License Number | |
| License Number State | SC |
VIII. Authorized Official
Name:
CHRIS
DOYLE
Title or Position: OFFICE MANAGER
Credential:
Phone: 843-549-3444