1861456600 NPI number — AIKEN COUNTY

Table of content: (NPI 1861456600)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1861456600 NPI number — AIKEN COUNTY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
AIKEN COUNTY
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1861456600
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/07/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1930 UNIVERSITY PARKWAY SUITE 3200
Provider Second Line Business Mailing Address:
AIKEN COUNTY EMS/ CENTRAL COLLECTIONS
Provider Business Mailing Address City Name:
AIKEN
Provider Business Mailing Address State Name:
SC
Provider Business Mailing Address Postal Code:
29801-2833
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
803-642-2076
Provider Business Mailing Address Fax Number:
803-502-2418

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
621 YORK STREET NE
Provider Second Line Business Practice Location Address:
AIKEN COUNTY EMS
Provider Business Practice Location Address City Name:
AIKEN
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29801-3834
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
803-642-1624
Provider Business Practice Location Address Fax Number:
803-642-1629
Provider Enumeration Date:
04/17/2006

Additional Information

Authorized Official

Authorized Official Last Name:
KILLIAN
Authorized Official First Name:
CLAY
Authorized Official Middle Name:
Authorized Official Title or Position:
COUNTY ADMINISTRATOR
Authorized Official Telephone Number:
803-642-2012

Provider Taxonomy Codes

  • Taxonomy code: 341600000X , with the licence number:  002 , registered in the state of SC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 00002395A . This is a "GA CAID" identifier , issued by the state of ( GA ) . This identifiers is of the category "OTHER".
  • Identifier: 501843 , issued by the state of ( SC ) . This identifiers is of the category "MEDICAID".




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