MR. CLINTON R HAGGARD (NPI# 1962430546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962430546 |
Entity Type | Individual |
Full Name | MR. CLINTON R HAGGARD |
Credential | ATC, LAT, NREMT-B |
Practice Address |
1125 George Rogers Blvd Columbia SC 29208-0001 |
Practice Telephone | 8037775574 |
Practice Fax Number | 8037778286 |
Mailing Telephone | 8037775574 |
Mailing Fax Number | 8037778286 |
Enumeration Date | 2006-06-30 |
Last Update Date | 2016-04-15 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 146N00000X | Emergency Medical Technician, Basic | 8362 | AL | Emergency Medical Service Providers |
Street Address |
1125 GEORGE ROGERS BLVD |
City | COLUMBIA |
State | SC |
Zip Code | 29208-0001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841644861 | Daryl Faulkner | Specialist/Technologist | 1125 George Rogers Blvd, Columbia, SC 29208-0001 | 2016-04-15 |
1144611963 | Drayer Physical Therapy-south Carolina, LLC | Physical Therapist | 1125 George Rogers Blvd, William Brice Stadium, Columbia, SC 29201 | 2015-02-16 |
1124382619 | Rachel Leanne Sharpe | Specialist/Technologist | 1125 George Rogers Blvd, Columbia, SC 29208-0001 | 2012-06-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306409834 | Nathan Orth | Specialist/Technologist | 1304 Heyward St, Columbia, SC 29208 | 2019-04-19 |
1710434253 | Talley Young | Specialist/Technologist | 1300 Wheat Street, Columbia, SC 29208 | 2016-09-01 |
1720368871 | Anwar Merchant | Student in an Organized Health Care Education/Training Program | 800 Sumter Street, Department of Epidemiology and Biostatistics, Columbia, SC 29208 | 2011-08-22 |
1730202805 | Cynthia Mcintyre Thompson | Registered Nurse | 1409 Devine Street, University of Sc Thomason Student Health Center, Columbia, SC 29208 | 2007-04-06 |
1841837481 | Stephanie Jo Beeler | Registered Nurse | 1601 Greene St, Columbia, SC 29208 | 2019-12-02 |
1003161696 | Toni Marie Torres-mcgehee | Specialist/Technologist | 1300 Wheat St, Blatt Pe Center 218, Columbia, SC 29208 | 2012-07-19 |
1841812591 | Chasitie Ann Mcintosh | Student in an Organized Health Care Education/Training Program | 1601 Greene Street Columbia South Carolina 29208, Columbia, SC 29208-0001 | 2020-05-15 |
1053933267 | Allyson Derrick | Student in an Organized Health Care Education/Training Program | 1601 Greene Street Columbia, Columbia, SC 29208-0001 | 2020-05-11 |
1235764580 | Cheedy Jaja | Registered Nurse | College of Nursing 1601 Greene Street, Columbia, SC 29208-0001 | 2020-03-06 |
1518515097 | Warrenetta Crawford Mann | Psychologist | 1409 Devine Street Thomson Building, Columbia, SC 29208-0001 | 2019-08-28 |
Find all providers in zip 29208 |
Taxonomy Code | 146N00000X |
Grouping | Emergency Medical Service Providers |
Classification | Emergency Medical Technician, Basic |
A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards. |
Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578897567 | Jennifer A Garris | Emergency Medical Technician, Basic | 332a Saint Paul St, Columbia, IL 62236-1872 | 2009-09-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972125250 | Steven Douglas Etheredge | Emergency Medical Technician, Basic | 1188 Constitution Blvd, Rock Hill, SC 29732-3006 | 2020-05-10 |
1053970772 | James T Miller Jr. | Emergency Medical Technician, Basic | 3738 Maple St, Loris, SC 29569-2320 | 2019-06-06 |
1811493802 | Matthew Joseph Bailey | Emergency Medical Technician, Basic | 3203 Highway 52, Moncks Corner, SC 29461-5055 | 2018-03-30 |
1982120176 | City of Beaufort | Emergency Medical Technician, Basic | 135 Ribaut Rd, Beaufort, SC 29902-4449 | 2017-08-18 |
1679094643 | James D Pearson | Emergency Medical Technician, Basic | 9b Willow Drive, Sumter, SC 29150 | 2017-06-29 |
1457888273 | Matthew Drescher | Emergency Medical Technician, Basic | 732 Ravenglass Dr, Fort Mill, SC 29715-7326 | 2017-05-11 |
1790131704 | Keowee Fire Tax District | Emergency Medical Technician, Basic | 115 Maintenance Rd, Salem, SC 29676 | 2016-05-09 |
1083019053 | Stephanie Baker | Emergency Medical Technician, Basic | 80 Woodwind Dr, Spartanburg, SC 29302-4519 | 2014-11-03 |
1306248141 | Boiling Springs Fire District | Emergency Medical Technician, Basic | 5020 Pelham Rd, Greenville, SC 29615-5717 | 2014-09-24 |
1851706899 | James Woods | Emergency Medical Technician, Basic | 2538 Highway 301 S, Suite C, Dillon, SC 29536-8217 | 2014-06-29 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.