Provider Demographics
NPI:1114924644
Name:SCOTLAND COUNTY EMS
Entity Type:Organization
Organization Name:SCOTLAND COUNTY EMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ROYLIN
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMMOND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-276-1313
Mailing Address - Street 1:1403 WEST BLVD
Mailing Address - Street 2:P.O. BOX 1407
Mailing Address - City:LAURINBURG
Mailing Address - State:NC
Mailing Address - Zip Code:28352
Mailing Address - Country:US
Mailing Address - Phone:910-276-1313
Mailing Address - Fax:910-277-2413
Practice Address - Street 1:1403 WEST BLVD
Practice Address - Street 2:
Practice Address - City:LAURINBURG
Practice Address - State:NC
Practice Address - Zip Code:28352-9170
Practice Address - Country:US
Practice Address - Phone:910-276-1313
Practice Address - Fax:910-277-2413
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-30
Last Update Date:2011-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0830309146L00000X
NC12023416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, ParamedicGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3406626Medicaid
NC0830309OtherNCOEMS PROVIDER NO.
NC278044Medicare ID - Type UnspecifiedMEDICARE ID NUMBER