Organization
CITY OF HANAHAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BARGERON (EMS DIRECTOR)
(843) 637-1740
Entity
Organization
Contact information
Practice address
1255 YEAMANS HALL RD, HANAHAN, SC 29410-2744
(843) 554-4221
Mailing address
104 BERKELEY SQUARE LN, PMB 81, GOOSE CREEK, SC 29445-2958
(843) 572-0155
(843) 572-5584
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
16701
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
502600
—
SC
Enumeration date
07/07/2005
Last updated
03/22/2021
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