Organization Active NPI

York Rescue Squad

  • Ambulance
  • York, SC
National Provider Identifier
1063421709
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
137 Issued in SC
Legal business name
YORK RESCUE SQUAD
Practice address
14 N Roosevelt St
York, SC 29745-1533
Phone
(803) 684-0967
NPI assigned
Aug 5, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Billy Allen
Title
Director
Phone
(803) 684-0967

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 137 SC Primary

Addresses

Primary practice location

14 N Roosevelt St
York, SC 29745-1533

Mailing address

PO Box 1245
Walterboro, SC 29488-0013
Phone (843) 549-3444

Other identifiers 1

IdentifierTypeStateIssuer
AB 0246MedicaidSC

National Provider Directory

National Provider Directory

Locations

12 Roosevelt St N
#101
York, SC 29745
Phone (803) 417-2745

14 Congress St N
York, SC 29745
Phone (864) 684-0967

14 Roosevelt St N
York, SC 29745
Phone (803) 684-0967

216 Jefferson St E
York, SC 29745
Phone (803) 684-0967

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063421709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1245",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294880013",
            "telephone_number": "843-549-3444",
            "fax_number": "843-549-3474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 N ROOSEVELT ST",
            "city": "YORK",
            "state": "SC",
            "postal_code": "297451533",
            "telephone_number": "803-684-0967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YORK RESCUE SQUAD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "BILLY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "803-684-0967"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "SC",
            "license": "137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AB 0246",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in York, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.