Provider Demographics
NPI:1861456600
Name:AIKEN COUNTY
Entity Type:Organization
Organization Name:AIKEN COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNTY ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CLAY
Authorized Official - Middle Name:
Authorized Official - Last Name:KILLIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-642-2012
Mailing Address - Street 1:1930 UNIVERSITY PARKWAY SUITE 3200
Mailing Address - Street 2:AIKEN COUNTY EMS/ CENTRAL COLLECTIONS
Mailing Address - City:AIKEN
Mailing Address - State:SC
Mailing Address - Zip Code:29801-2833
Mailing Address - Country:US
Mailing Address - Phone:803-642-2076
Mailing Address - Fax:803-502-2418
Practice Address - Street 1:621 YORK STREET NE
Practice Address - Street 2:AIKEN COUNTY EMS
Practice Address - City:AIKEN
Practice Address - State:SC
Practice Address - Zip Code:29801-3834
Practice Address - Country:US
Practice Address - Phone:803-642-1624
Practice Address - Fax:803-642-1629
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-17
Last Update Date:2014-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC002341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00002395AOtherGA CAID
SC501843Medicaid
SC501843Medicaid