FAIRFIELD COUNTY EMS
NPI 1477580959
Durable Medical Equipment & Medical Supplies - Customized Equipment in Winnsboro, SC

Active since June 28, 2006CLIA 42D0897837 · Waiver
350 COLUMBIA RD, WINNSBORO, SC 29180(803) 633-2107(803) 635-6147 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fairfield County Ems NPPES

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

FAIRFIELD COUNTY EMS (NPI 1477580959) is a healthcare organization registered as a customized equipment in Winnsboro, South Carolina and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through February 15, 2027 and lists Debbie S. Broom, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1477580959
Entity TypeOrganization
Primary Taxonomy332BC3200X
Legal Business NameLIFELINE OF FAIRFIELD
Location Address350 COLUMBIA RDWinnsboro, SC 29180
Mailing AddressP O Drawer 60Winnsboro, SC 29180-1732 · (803) 633-2107 · Fax (803) 635-6147
Fax(803) 635-6147
Organization SubpartNo
Authorized OfficialDebbie S. BroomOffice Manager · (803) 633-2107
Enumeration DateJune 28, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1477580959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

350 COLUMBIA RD, Winnsboro, SC 29180

Other Names 1

Other NameFairfield County Ems

Other Identifiers 1

MedicaidDE1346SC

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 42D0897837

Fairfield County Emergency Services · Winnsboro, SC
Active · expires Feb 15, 2027
CLIA Number42D0897837
Laboratory TypeOther
Certificate Effective DateFebruary 16, 2025
Certificate Expiration DateFebruary 15, 2027
Laboratory DirectorTimothy Martin
Laboratory Phone(803) 633-2107
Laboratory LocationFairfield County Emergency Services100 Tidewater Drive, Winnsboro, SC 29180
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Lifeline Of Fairfield's NPI number?

The NPI number for Lifeline Of Fairfield is 1477580959. It was assigned to this organization in the NPPES registry on June 28, 2006. The provider is also known as Fairfield County Ems.

Where is Lifeline Of Fairfield located?

Lifeline Of Fairfield is located at 350 Columbia Rd, Winnsboro, SC 29180. The listed phone number is (803) 633-2107.

What is Lifeline Of Fairfield's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies, specializing in Customized Equipment, with taxonomy code 332BC3200X.

Does Lifeline Of Fairfield hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D0897837) is associated with this NPI, valid through February 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lifeline Of Fairfield was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.