Healthcare Provider Details

I. General information

NPI: 1235111485
Provider Name (Legal Business Name): HAMPTON COUNTY EMS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2005
Last Update Date: 08/14/2020
Certification Date: 08/14/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

703 2ND STREET
WEST HAMPTON SC
29924
US

IV. Provider business mailing address

P.O. BOX 667
HAMPTON SC
29924
US

V. Phone/Fax

Practice location:
  • Phone: 803-914-2150
  • Fax: 270-744-8642
Mailing address:
  • Phone: 803-914-2152
  • Fax: 803-914-2154

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number168
License Number StateSC

VIII. Authorized Official

Name: STEPHANIE DELOACH
Title or Position: DIRECTOR
Credential:
Phone: 803-914-2151