Active NPI
Oakway Rescue Squad, Inc.
- Land Ambulance
- Westminster, SC
National Provider Identifier
1225415573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 379
- Legal business name
- OAKWAY RESCUE SQUAD, INC.
- Practice address
- 5480 West Oak Highway
Westminster, SC 29693 - Phone
- (864) 972-7377
- NPI assigned
- May 6, 2015
- Last updated
- Mar 14, 2017
- 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
- Samuel James Mast
- Title
- Ceo
- Phone
- (864) 972-7377
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 379 | SC | Primary |
Addresses
Primary practice location
5480 West Oak Highway
Westminster, SC 29693
Mailing address
PO Box 62
Fair Play, SC 29643-0062
Phone (864) 972-7377
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| APPLIED FOR | Medicaid | SC |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 42D2099422 | Oakway Rescue Squad | Certificate of waiver | Jul 26, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430870400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1489449600000",
"number": "1225415573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 62",
"city": "FAIR PLAY",
"state": "SC",
"postal_code": "296430062",
"telephone_number": "864-972-7377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5480 WEST OAK HIGHWAY",
"city": "WESTMINSTER",
"state": "SC",
"postal_code": "29693",
"telephone_number": "864-972-7377"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OAKWAY RESCUE SQUAD, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2015-05-06",
"last_updated": "2017-03-14",
"status": "A",
"authorized_official_last_name": "MAST",
"authorized_official_first_name": "SAMUEL",
"authorized_official_middle_name": "JAMES",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "864-972-7377"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "SC",
"license": "379",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "APPLIED FOR",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Westminster, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.