# CITY OF GOOSE CREEK

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417954587
- **Authorized official:** MR. TYLER D HOWANYK (FINANCE DIRECTOR)
- **Authorized official phone:** (843) 797-6220

## Contact information

- **Practice address:** 519 N GOOSE CREEK BLVD, GOOSE CREEK, SC 29445-2962
- **Practice address phone:** (843) 797-6220
- **Practice address fax:** (843) 863-5208
- **Mailing address:** PO BOX 1768, GOOSE CREEK, SC 29445-1768
- **Mailing address phone:** (843) 797-6220
- **Mailing address fax:** (843) 572-0155

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 18201 | SC | Yes |

## Other

- **Enumeration date:** 07/05/2005
- **Last updated:** 09/26/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 502897 | — | SC |