Provider Demographics
NPI:1265860431
Name:CAROLINA EMERGENCY CARE
Entity Type:Organization
Organization Name:CAROLINA EMERGENCY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:RUHAAK
Authorized Official - Last Name:KLIE
Authorized Official - Suffix:
Authorized Official - Credentials:NREMT-P
Authorized Official - Phone:803-960-0762
Mailing Address - Street 1:1448 S LAKE DR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:SC
Mailing Address - Zip Code:29073-8356
Mailing Address - Country:US
Mailing Address - Phone:803-399-8247
Mailing Address - Fax:803-399-8230
Practice Address - Street 1:1448 S LAKE DR
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:SC
Practice Address - Zip Code:29073-8356
Practice Address - Country:US
Practice Address - Phone:803-399-8247
Practice Address - Fax:803-399-8230
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-24
Last Update Date:2013-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3353416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport