Provider Demographics
NPI:1437142742
Name:COUNTY COUNCIL FOR RICHLAND COUNTY
Entity Type:Organization
Organization Name:COUNTY COUNCIL FOR RICHLAND COUNTY
Other - Org Name:RICHLAND COUNTY EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COUNTY ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:POPE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-576-3400
Mailing Address - Street 1:PO BOX 192
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29202-0192
Mailing Address - Country:US
Mailing Address - Phone:803-576-3400
Mailing Address - Fax:
Practice Address - Street 1:1410 LAURENS ST
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29204-1880
Practice Address - Country:US
Practice Address - Phone:803-576-3400
Practice Address - Fax:803-748-5055
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-23
Last Update Date:2012-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC049341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCAB0023Medicaid
SCAB0023Medicaid