MEDICARE: GREENWOOD 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
1	341600000X	Ambulance	035	SC

Other Identifiers

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

General Provider Information

NPI Number	:	1982608709
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GREENWOOD COUNTY EMS

Provider Business Mailing Address
First Line	:	528 MONUMENT ST
Second Line	:	STE 108
City	:	GREENWOOD
State	:	SC
Zip	:	29646-2634
Country	:	US
Telephone Number	:	864-942-8633
Fax Number	:

Provider Business Practice Location Address
First Line	:	528 MONUMENT ST
Second Line	:	STE 108
City	:	GREENWOOD
State	:	SC
Zip	:	29646-2634
Country	:	US
Telephone Number	:	864-942-8633
Fax Number	:

Authorized Official
Title or Position	:	GREENWOOD COUNTY TREASURER
Name	:	KENNETH M SPATE
Credential	:
Telephone Number	:	864-942-8528

Provider Enumeration Date	:	06/09/2005
Last Update Date	:	07/18/2007

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Directions to “GREENWOOD COUNTY EMS ” Practice Location

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