Active NPI
Allendale County Rescue Squad Inc
- Land Ambulance
- Allendale, SC
National Provider Identifier
1083693832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- ALLENDALE COUNTY RESCUE SQUAD INC
- Practice address
- 606 Hickory St
Allendale, SC 29810 - Phone
- (803) 584-4900
- Fax
- (803) 584-0400
- NPI assigned
- Jan 11, 2006
- Last updated
- Nov 30, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. John Marshall Lawson III, PARAMEDIC DIRECTOR
- Title
- Director Captain
- Phone
- (803) 584-4900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
606 Hickory St
Allendale, SC 29810
Mailing address
PO Box 1245
Walterboro, SC 29488
Phone (843) 549-3444
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 502076 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050927000124 | SC | Part B Supplier - Ambulance Service Supplier | 8123052362 | Practice locations: Allendale, SC |
National Provider Directory
National Provider Directory- Tax ID family
- Allendale Rescue Squad
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Ambulance
- Lexington, SC
- NPI 1154314441
Locations
660 Hickory St N
Allendale, SC 29810
Phone (803) 584-4900
911 Main St N
Ste C
Allendale, SC 29810
Phone (803) 584-4900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136937600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1354233600000",
"number": "1083693832",
"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": "29488",
"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": "606 HICKORY ST",
"city": "ALLENDALE",
"state": "SC",
"postal_code": "29810",
"telephone_number": "803-584-4900",
"fax_number": "803-584-0400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALLENDALE COUNTY RESCUE SQUAD INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-11",
"last_updated": "2012-11-30",
"status": "A",
"authorized_official_last_name": "LAWSON",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "MARSHALL",
"authorized_official_title_or_position": "DIRECTOR CAPTAIN",
"authorized_official_telephone_number": "803-584-4900",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "PARAMEDIC DIRECTOR"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "502076",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Allendale, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.