Healthcare Provider Details

I. General information

NPI: 1053391060
Provider Name (Legal Business Name): FAIRFIELD COUNTY EMERGENCY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2006
Last Update Date: 07/18/2023
Certification Date: 07/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 TIDEWATER DR N
WINNSBORO SC
29180-7345
US

IV. Provider business mailing address

100 TIDEWATER DR N
WINNSBORO SC
29180-7345
US

V. Phone/Fax

Practice location:
  • Phone: 803-633-2187
  • Fax:
Mailing address:
  • Phone: 843-633-2187
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: TIMOTHY MARTIN
Title or Position: EMS DIRECTOR
Credential:
Phone: 803-633-2187