Organization Active NPI

Marlboro County Rescue Squad Inc

  • Ambulance
  • Bennettsville, SC
National Provider Identifier
1104901727
Registry record updated Mar 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
00140 Issued in SC
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

Updated by the provider on Mar 14, 2016

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
AB0141MedicaidSC

National Provider Directory

National Provider Directory

Ownership & 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.

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.

Verify at the official NPI Registry.