CITY OF GOOSE CREEK (NPI# 1417954587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417954587 |
| Entity Type | Organization |
| Organization Name | CITY OF GOOSE CREEK |
| Practice Address |
519 N Goose Creek Blvd Goose Creek SC 29445-2962 |
| Mailing Address |
104 Berkeley Square Ln Pmb 165 Goose Creek SC 29445-2958 |
| Practice Telephone | 8435538350 |
| Mailing Telephone | 8435720155 |
| Mailing Fax Number | 8435720155 |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2012-10-18 |
| Authorized Official Name | MR. RONALD R. FARETRA (FINANCE DIRECTOR) |
| Authorized Official Telephone | 8437976220 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
18201 | SC | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 502897 | 05 |
| Street Address |
519 N GOOSE CREEK BLVD |
| City | GOOSE CREEK |
| State | SC |
| Zip Code | 29445-2962 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790309953 | Auriel Mcconnell | Home Health | 616 One Mans Court, Mount Pleasant, SC 29445 | 2020-06-03 |
| 1215594023 | Tanova Cornise Robinson | Counselor | 96 Wisteria Road, Goose Creek, SC 29445 | 2019-05-28 |
| 1417421777 | Debra Liana Kerness | Social Worker | 100-a Central Avenue, Suite 203, Goose Creek, SC 29445 | 2019-01-18 |
| 1043663503 | Aimee Nehiley | Dentist | 615 Saint James Ave, Goose Creek, SC 29445 | 2016-07-20 |
| 1881057032 | Eddie Emanuel Nance | Family Medicine | 110 Naval Nuclear Power Training Command Cir, Goose Creek, SC 29445 | 2016-04-04 |
| 1295195188 | Dental Professionals of South Carolina, PC | Dentist | 615 St. James Ave, Goose Creek, SC 29445 | 2016-03-04 |
| 1144603622 | Laryssa Smith | Pharmacist | 215 St. James Ave, Goose Creek, SC 29445 | 2015-07-02 |
| 1730439126 | O'stacia Williamson | Pharmacist | 1316 Redbank Rd, 9, Goose Creek, SC 29445 | 2012-09-13 |
| 1164771275 | Mary Ashley Watts | Pharmacist | 431 B St James Ave Suite I, Goose Creek, SC 29445 | 2012-09-05 |
| 1598048860 | Brianne Michele Terry | Pharmacist | 142 East Saint James Ave, Goose Creek, SC 29445 | 2011-09-23 |
| Find all providers in zip 29445 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255304119 | American Heritage Ambulance, LLC | Ambulance | 137 St. James Ave, Goose Creek, SC 29445 | 2006-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659991990 | 4ourboys LLC | Ambulance | 1643 Highway 544, Conway, SC 29526-8452 | 2020-04-16 |
| 1205469657 | Carolina Emergency Medical Services | Ambulance | 1004 Ella St Apt B, Anderson, SC 29621-4808 | 2020-02-13 |
| 1043841844 | Atlas Ems LLC | Ambulance | 2260 Powdersville Rd, Easley, SC 29642-8921 | 2020-01-30 |
| 1649820937 | Lifeguard Ambulance Service LLC | Ambulance | 145 Medical Center Dr, Gaffney, SC 29340-4823 | 2019-09-18 |
| 1144790361 | Hope Medical Transport and Training, LLC | Ambulance | 308 Lake Moultrie Dr, Bonneau, SC 29431-8540 | 2018-11-30 |
| 1194200063 | Port City Ambulance Service LLC | Ambulance | 2357 N Highway 17 Ste 210, Mount Pleasant, SC 29466-6853 | 2018-09-26 |
| 1154824563 | Southmed Ambulance Service LLC | Ambulance | 9b Willow Dr, Sumter, SC 29150-4139 | 2018-03-12 |
| 1205354669 | Move Around Distribution LLC | Ambulance | 1688 Katy Ln, Tega Cay, SC 29708-8974 | 2017-09-06 |
| 1710419692 | Transpro Medical Transport | Ambulance | 282 Center Dr, Myrtle Beach, SC 29572-5613 | 2017-03-30 |
| 1609307586 | Secure Transportation Services | Ambulance | 5402 Old York Rd, Rock Hill, SC 29732-9592 | 2017-03-23 |
| Find all providers with the same taxonomy | ||||
| City | GOOSE CREEK |
| Zip Code | 29445 |
Please comment or provide details below to improve the information on CITY OF GOOSE CREEK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.