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CITY OF GOOSE CREEK
NPI 1417954587
Ambulance - Land Transport in Goose Creek, SC

Active since July 05, 2005CLIA 42D2080493 · Waiver
519 N GOOSE CREEK BLVD, GOOSE CREEK, SC 29445(843) 797-6220(843) 863-5208 Get Directions Write a Review

NPPES record last updated: September 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About City Of Goose Creek NPPES

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

CITY OF GOOSE CREEK (NPI 1417954587) is a healthcare organization registered as a land transport in Goose Creek, South Carolina and active in the NPI registry since July 2005. The organization holds a CLIA Waiver certificate valid through July 8, 2028 and lists Tyler D Howanyk, Finance Director, as its authorized official.

NPPES Registry Identity

NPI1417954587
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameCITY OF GOOSE CREEK
Location Address519 N GOOSE CREEK BLVDGoose Creek, SC 29445-2962
Mailing AddressPo Box 1768Goose Creek, SC 29445-1768 · (843) 797-6220 · Fax (843) 572-0155
Phone(843) 797-6220
Fax(843) 863-5208
Organization SubpartNo
Authorized OfficialTyler D HowanykFinance Director · (843) 797-6220
Enumeration DateJuly 5, 2005
Last NPPES UpdateSeptember 26, 2024
NPPES CertifiedSeptember 26, 2024
✔ NPI 1417954587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
License✔ Licensed in SC · 18201
519 N GOOSE CREEK BLVD, Goose Creek, SC 29445
Open in Google Maps ↗

Other Identifiers 1

Medicaid502897SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina.Insurance ›

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 42D2080493

City Of Goose Creek Fire Department · Goose Creek, SC
Active · expires Jul 8, 2028
CLIA Number42D2080493
Laboratory TypeAmbulance
Certificate Effective DateJuly 9, 2026
Certificate Expiration DateJuly 8, 2028
Laboratory DirectorMr. Michael Nixon
Laboratory Phone(843) 553-8350
Laboratory LocationCity Of Goose Creek Fire Department101 Button Hall Avenue, Goose Creek, SC 29445
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

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.
2,725 services398 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.
301 services259 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.
231 services184 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 City Of Goose Creek's NPI number?

The NPI number for City Of Goose Creek is 1417954587. It was assigned to this organization in the NPPES registry on July 5, 2005.

Where is City Of Goose Creek located?

City Of Goose Creek is located at 519 N Goose Creek Blvd, Goose Creek, SC 29445. The listed phone number is (843) 797-6220.

What is City Of Goose Creek's specialty?

The primary specialty registered for this NPI is Ambulance, specializing in Land Transport, with taxonomy code 3416L0300X.

Does City Of Goose Creek hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2080493) is associated with this NPI, valid through July 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does City Of Goose Creek accept?

Health plans from BlueCross BlueShield of South Carolina list City Of Goose Creek as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for City Of Goose Creek was last updated on September 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.