Active NPI
Marlboro County Rescue Squad Inc
- Ambulance
- Bennettsville, SC
National Provider Identifier
1104901727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 00140
- Legal business name
- MARLBORO COUNTY RESCUE SQUAD INC
- Practice address
- 207 Ball Park St
Bennettsville, SC 29512-3158 - Phone
- (843) 479-2644
- NPI assigned
- Oct 25, 2006
- 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
- Jennifer Driggers
- Title
- Office Manager
- Phone
- (843) 479-2644
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 00140 | SC | Primary |
Addresses
Primary practice location
207 Ball Park St
Bennettsville, SC 29512-3158
Mailing address
PO Box 80
Bennettsville, SC 29512-0080
Phone (843) 479-2644
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AB0141 | Medicaid | SC |
National Provider Directory
National Provider DirectoryOwnership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Ambulance
- Marion, SC
- NPI 1306210075
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1457913600000",
"number": "1104901727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 80",
"city": "BENNETTSVILLE",
"state": "SC",
"postal_code": "295120080",
"telephone_number": "843-479-2644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 BALL PARK ST",
"city": "BENNETTSVILLE",
"state": "SC",
"postal_code": "295123158",
"telephone_number": "843-479-2644"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARLBORO COUNTY RESCUE SQUAD INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-25",
"last_updated": "2016-03-14",
"status": "A",
"authorized_official_last_name": "DRIGGERS",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "843-479-2644"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "SC",
"license": "00140",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "AB0141",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bennettsville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.