Provider Demographics
NPI:1942223219
Name:DORCHESTER COUNTY EMS
Entity Type:Organization
Organization Name:DORCHESTER COUNTY EMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:WARREN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-832-0286
Mailing Address - Street 1:821 W 5TH NORTH ST
Mailing Address - Street 2:#5
Mailing Address - City:SUMMERVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29483-3847
Mailing Address - Country:US
Mailing Address - Phone:843-832-0032
Mailing Address - Fax:843-832-0026
Practice Address - Street 1:821 W 5TH NORTH ST
Practice Address - Street 2:
Practice Address - City:SUMMERVILLE
Practice Address - State:SC
Practice Address - Zip Code:29483-3847
Practice Address - Country:US
Practice Address - Phone:843-832-0032
Practice Address - Fax:843-832-0026
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-26
Last Update Date:2012-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC098341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA795776617AMedicaid
SC35530OtherHEALTH PARTNERS
SC590004036OtherRAILROAD MEDICARE
SC502566Medicaid
NE10025314500Medicaid
SC006895400OtherUS DEPT OF LABOR PROV NO
SC502566Medicaid