# ANDERSON COUNTY EMS

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ANDERSON COUNTY, SOUTH CAROLINA
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1942698329
- **Legal business name:** ANDERSON COUNTY, SOUTH CAROLINA
- **Authorized official:** MR. SCOTT STOLLER NRP (DIRECTOR)
- **Authorized official phone:** (864) 209-1101

## Contact information

- **Practice address:** 200 BLECKLEY ST, RM. 217, ANDERSON, SC 29625-4325
- **Practice address phone:** (864) 209-1101
- **Practice address fax:** (864) 716-3679
- **Mailing address:** 200 BLECKLEY ST, RM. 217, ANDERSON, SC 29625-4325
- **Mailing address phone:** (864) 209-1101
- **Mailing address fax:** (864) 716-3679

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 264 | SC | Yes |

## Other

- **Enumeration date:** 01/07/2015
- **Last updated:** 01/07/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 264 | SC DHEC EMS AMBULANCE SERVICE LICENSE | SC |
