Lifeline Of Fairfield
Durable Medical Equipment & Medical Supplies, Customized Equipment in Winnsboro, SC. Organization (NPI-2).
NPI number1477580959
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1477580959
- Entity type
- Organization (NPI-2)
- Legal business name
- Lifeline Of Fairfield
- Organization subpart
- No
- Enumeration date
- Jun 28, 2006
- Last updated
- Aug 22, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332BC3200X | Durable Medical Equipment & Medical Supplies, Customized Equipment | – | SC | Yes |
Other names
- Fairfield County Ems (Other Name)
Practice location
350 Columbia RdWinnsboro, SC 29180
Phone 803-633-2107 · Fax 803-635-6147
Mailing address
P O Drawer 60Winnsboro, SC 29180-1732
Phone 803-633-2107 · Fax 803-635-6147
Authorized official
Debbie S. Broom
Office Manager
8036332107
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