Provider Demographics
NPI:1558491316
Name:DARLINGTON COUNTY EMS
Entity Type:Organization
Organization Name:DARLINGTON COUNTY EMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EMS DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-398-4441
Mailing Address - Street 1:1625 HARRY BYRD HIGHWAY
Mailing Address - Street 2:
Mailing Address - City:DARLINGTON
Mailing Address - State:SC
Mailing Address - Zip Code:29532-3520
Mailing Address - Country:US
Mailing Address - Phone:843-398-4443
Mailing Address - Fax:843-398-4447
Practice Address - Street 1:1625 HARRY BYRD HIGHWAY
Practice Address - Street 2:
Practice Address - City:DARLINGTON
Practice Address - State:SC
Practice Address - Zip Code:29532-3520
Practice Address - Country:US
Practice Address - Phone:843-398-4443
Practice Address - Fax:843-398-4447
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-07
Last Update Date:2017-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC0213416L0300X
SC3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC502183Medicaid
SC502183Medicaid