Provider Demographics
NPI:1821073115
Name:COUNTY COUNCIL OF BEAUFORT COUNTY
Entity Type:Organization
Organization Name:COUNTY COUNCIL OF BEAUFORT COUNTY
Other - Org Name:BEAUFORT COUNTY EMERGENCY MEDICAL SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATIVE ASSISTANT BCEMS
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARCIA
Authorized Official - Middle Name:ARLENE
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:843-255-5368
Mailing Address - Street 1:P O DRAWER 1228
Mailing Address - Street 2:
Mailing Address - City:BEAUFORT
Mailing Address - State:SC
Mailing Address - Zip Code:29901-1228
Mailing Address - Country:US
Mailing Address - Phone:843-255-5368
Mailing Address - Fax:843-525-4032
Practice Address - Street 1:2727 DEPOT RD
Practice Address - Street 2:
Practice Address - City:BEAUFORT
Practice Address - State:SC
Practice Address - Zip Code:29902-5361
Practice Address - Country:US
Practice Address - Phone:843-525-4005
Practice Address - Fax:843-525-4032
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-09
Last Update Date:2019-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC0123416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC502067Medicaid
SC=========OtherAMBULANCE