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NPI Code Detail

MEDICARE: WILLIAMSBURG COUNTY EMS

MEDICARE: WILLIAMSBURG COUNTY EMS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1341600000XAmbulance
2341600000XAmbulance156SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1053310623
Entity Type Code : Organization
Provider Name (Legal Business Name) : WILLIAMSBURG COUNTY EMS
Provider Business Mailing Address
First Line : 205 THURGOOD MARSHALL HWY
Second Line :
City : KINGSTREE
State : SC
Zip : 29556-4028
Country : US
Telephone Number : 843-355-5195
Fax Number :
Provider Business Practice Location Address
First Line : 5005 SUNSET BLVD
Second Line :
City : LEXINGTON
State : SC
Zip : 29072-9154
Country : US
Telephone Number : 803-957-7111
Fax Number : 803-957-7115
Authorized Official
Title or Position : DIRECTOR
Name : RENE C. BRYANT
Credential : DIRECTOR/PARAMEDIC
Telephone Number : 843-355-5195
Provider Enumeration Date : 07/18/2005
Last Update Date : 09/20/2007

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Directions to “WILLIAMSBURG COUNTY EMS ” Practice Location

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