CITY OF BEAUFORT (NPI# 1982120176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982120176 |
Entity Type | Organization |
Organization Name | CITY OF BEAUFORT |
Other Organization Name | BEAUFORT/PORT ROYAL FIRE DEPARTMENT |
Practice Address |
135 Ribaut Rd Beaufort SC 29902-4449 |
Practice Telephone | (843) 525-7055 |
Practice Fax Number | 8435257031 |
Mailing Telephone | 8435257055 |
Mailing Fax Number | 8435257031 |
Enumeration Date | 2017-08-18 |
Last Update Date | 2017-08-18 |
Authorized Official Name | JOHN C ROBINSON (CAPTAIN TRAINING/EDCUATION) |
Authorized Official Telephone | 8435257035 |
Authorized Official Credential | MBA |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 146N00000X | Emergency Medical Technician, Basic | 385 | SC | Emergency Medical Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | SC DHEC LICENSE | 385 | 01 |
Other Name | Type Code |
---|---|
Beaufort/Port Royal Fire Department | Other Name - Individual/Organization |
Street Address |
135 RIBAUT RD |
City | BEAUFORT |
State | SC |
Zip Code | 29902-4449 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063024578 | Beaufort County Memorial Hospital | Family Medicine | Beaufort Memorial Preoperative Assessment Clinic, 989 Ribaut Road Suite 370, Beaufort, SC 29902 | 2020-08-18 |
1750992475 | Fayth Polite | Social Worker | 2210 Salem Drive East, Beaufort, SC 29902 | 2020-08-14 |
1417509530 | Andrew Grant Miner | Dentist | Naval Hospital Beaufort, 1 Pinckney Blvd., Fpo, AA 29902 | 2019-07-09 |
1376029777 | Edward Dela Fuente | Counselor | Coastal Empire Mental Health Center, 1050 Ribaut Road, Beaufort, SC 29902 | 2018-07-18 |
1114440419 | Kristin Webb | Registered Nurse | 607 Wilmington Street, Beaufort, SC 29902 | 2017-07-19 |
1326582081 | Annemarie Gierling Gault | Nurse Practitioner | Beaufort Memorial Medical Oncology Infusion Center, 989 Ribaut Rd, Ste 103, Beaufort, SC 29902 | 2016-12-14 |
1114396579 | Jacquelyn Faith Proulx | Dentist | 1 Pickney Blvd., Naval Hospital Beaufort, Beaufort, SC 29902 | 2015-09-16 |
1386028413 | Howard Family Dental - Beaufort, Pllc | Dentist | 35 Robert Smalls Pkwy, Beaufort, SC 29902 | 2015-07-18 |
1598018103 | Lisa Marie Johnson | Occupational Therapist | 9555 Ribaut Road, Beaufort Memorial Hospital, Beaufort, SC 29902 | 2012-10-19 |
1134497860 | Jeremy Michael Simmons | Pharmacist | 2127 Boundary Street, Suite 19, Beaufort, SC 29902 | 2011-12-08 |
Find all providers in zip 29902 |
Taxonomy Code | 146N00000X |
Grouping | Emergency Medical Service Providers |
Classification | Emergency Medical Technician, Basic |
A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards. |
Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972125250 | Steven Douglas Etheredge | Emergency Medical Technician, Basic | 1188 Constitution Blvd, Rock Hill, SC 29732-3006 | 2020-05-10 |
1053970772 | James T Miller Jr. | Emergency Medical Technician, Basic | 3738 Maple St, Loris, SC 29569-2320 | 2019-06-06 |
1811493802 | Matthew Joseph Bailey | Emergency Medical Technician, Basic | 3203 Highway 52, Moncks Corner, SC 29461-5055 | 2018-03-30 |
1679094643 | James D Pearson | Emergency Medical Technician, Basic | 9b Willow Drive, Sumter, SC 29150 | 2017-06-29 |
1457888273 | Matthew Drescher | Emergency Medical Technician, Basic | 732 Ravenglass Dr, Fort Mill, SC 29715-7326 | 2017-05-11 |
1790131704 | Keowee Fire Tax District | Emergency Medical Technician, Basic | 115 Maintenance Rd, Salem, SC 29676 | 2016-05-09 |
1083019053 | Stephanie Baker | Emergency Medical Technician, Basic | 80 Woodwind Dr, Spartanburg, SC 29302-4519 | 2014-11-03 |
1306248141 | Boiling Springs Fire District | Emergency Medical Technician, Basic | 5020 Pelham Rd, Greenville, SC 29615-5717 | 2014-09-24 |
1851706899 | James Woods | Emergency Medical Technician, Basic | 2538 Highway 301 S, Suite C, Dillon, SC 29536-8217 | 2014-06-29 |
1962785121 | Wendell D Glenn | Emergency Medical Technician, Basic | 346 Coleman Rd, Clinton, SC 29325-6936 | 2011-09-23 |
Find all providers with the same taxonomy |
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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.