MEDICARE: MCCORMICK 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	210	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	:	1992798250
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MCCORMICK COUNTY EMS

Provider Business Mailing Address
First Line	:	608 S MINE ST
Second Line	:
City	:	MC CORMICK
State	:	SC
Zip	:	29835-8000
Country	:	US
Telephone Number	:	864-852-2811
Fax Number	:	864-852-3435

Provider Business Practice Location Address
First Line	:	608 S MINE ST
Second Line	:
City	:	MC CORMICK
State	:	SC
Zip	:	29835-8000
Country	:	US
Telephone Number	:	864-852-2811
Fax Number	:	864-852-3435

Authorized Official
Title or Position	:	ADMIN ASSISTANT
Name	:	MORGAN LANE KATSAPIS
Credential	:	EMT
Telephone Number	:	864-852-2811

Provider Enumeration Date	:	08/23/2005
Last Update Date	:	08/12/2025

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Directions to “MCCORMICK COUNTY EMS ” Practice Location

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