Organization
COUNTY OF MARION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RALPH WALTON COOPER III (EMS DIRECTOR)
(843) 275-6116
Entity
Organization
Contact information
Practice address
2523 E HIGHWAY 76, MARION, SC 29571-6347
(843) 275-6116
(843) 431-5015
Mailing address
PO BOX 84278, LEXINGTON, SC 29073-0005
(803) 957-7111
(803) 957-7115
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
—
—
341600000X
Ambulance
Primary
127
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
502174
—
SC
Enumeration date
11/17/2006
Last updated
02/08/2024
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