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DILLON COUNTY AMB SERVICE
NPI 1124076385
Ambulance in Dillon, SC

Active since May 04, 2006CLIA 42D2083486 · Waiver
1415 E MAIN ST, DILLON, SC 29536(843) 774-1441 Get Directions Write a Review

NPPES record last updated: June 27, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dillon County Amb Service NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DILLON COUNTY AMB SERVICE (NPI 1124076385) is a healthcare organization registered as an ambulance in Dillon, South Carolina and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through September 7, 2026 and lists Randy Grimsley, Ems Director, as its authorized official.

NPPES Registry Identity

NPI1124076385
Entity TypeOrganization
Primary Taxonomy341600000X
Legal Business NameCOUNTY OF DILLON
Location Address1415 E MAIN STDillon, SC 29536-3745
Mailing Address109 South 3rd AveDillon, SC 29536-9154 · (803) 957-7111 · Fax (803) 957-7115
Phone(843) 774-1441
Organization SubpartNo
Authorized OfficialRandy GrimsleyEms Director · (843) 845-1344
Enumeration DateMay 4, 2006
Last NPPES UpdateJune 27, 2014
✔ NPI 1124076385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulanceTransportation Services
Taxonomy Code341600000X
License✔ Licensed in SC · 082
Definition
An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane).
1415 E MAIN ST, Dillon, SC 29536
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Other Names 1

Other NameDillon County Amb Service

Other Identifiers 3

Medicare PINQ258170001SC
Other590026748SC · Amb Medicare Travelers
Medicaid501905SC

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 42D2083486

Dillon County Ems · Dillon, SC
Active · expires Sep 7, 2026
CLIA Number42D2083486
Laboratory TypeAmbulance
Certificate Effective DateSeptember 8, 2024
Certificate Expiration DateSeptember 7, 2026
Laboratory DirectorMr. Daniel W. Moody
Laboratory Phone(843) 774-1441
Laboratory LocationDillon County Ems1415 East Main St, Dillon, SC 29536
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ground mileage, per statute mile A0425
Ground mileage per statute mile is a method of calculating the cost of transportation for medical services. It is used when a patient needs to be transported by ground ambulance. The cost is calculated per mile, from the pick-up location to the medical facility.
7,939 services493 patients
Ambulance service, basic life support, emergency transport (bls-emergency) A0429
Ambulance service with basic life support (BLS-Emergency) provides immediate transport for patients in critical situations. Medical professionals on board deliver essential care like CPR, wound dressing, and oxygen therapy to stabilize patients during the journey.
502 services274 patients
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) A0427
Ambulance Service, Advanced Life Support, Level 1 (ALS 1 - Emergency) is a critical care transport service for emergency situations. It includes a team of healthcare professionals equipped with advanced skills and tools to manage life-threatening conditions during transport.
453 services303 patients
Advanced life support, level 2 (als 2) A0433
Advanced Life Support Level 2 (ALS 2) is a medical service provided during emergencies. It involves advanced procedures like defibrillation, medication administration or endotracheal intubation by trained professionals to stabilize critical patients.
23 services23 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is County Of Dillon's NPI number?

The NPI number for County Of Dillon is 1124076385. It was assigned to this organization in the NPPES registry on May 4, 2006. The provider is also known as Dillon County Amb Service.

Where is County Of Dillon located?

County Of Dillon is located at 1415 E Main St, Dillon, SC 29536. The listed phone number is (843) 774-1441.

What is County Of Dillon's specialty?

The primary specialty registered for this NPI is Ambulance with taxonomy code 341600000X.

Does County Of Dillon hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2083486) is associated with this NPI, valid through September 7, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for County Of Dillon was last updated on June 27, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.