Organization Active NPI

Palmetto Rural & Fire Dept

  • Land Ambulance
  • Darlington, SC
National Provider Identifier
1306186457
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
32701 Issued in SC
Legal business name
PALMETTO RURAL & FIRE DEPT
Practice address
1304 E McIver Rd
Darlington, SC 29532-8106
Phone
(843) 393-0996
Fax
(843) 393-0209
NPI assigned
Feb 27, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Authorized official

Name
Thomas E Spivey II
Title
Fire Chief
Phone
(843) 393-0996

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 32701 SC Primary

Addresses

Primary practice location

1304 E McIver Rd
Darlington, SC 29532-8106

Mailing address

1304 E McIver Rd
Darlington, SC 29532-8106
Phone (843) 393-0996

Other identifiers 1

IdentifierTypeStateIssuer
32701MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130710000157 SC Part B Supplier - Ambulance Service Supplier 0749420024 Practice locations: Darlington, SC

National Provider Directory

National Provider Directory

Locations

1304 E McIver Rd
Darlington, SC 29532
Phone (843) 245-5031

NPI Registry JSON

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

{
    "created_epoch": "1361923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728259200000",
    "number": "1306186457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 E MCIVER RD",
            "city": "DARLINGTON",
            "state": "SC",
            "postal_code": "295328106",
            "telephone_number": "843-393-0996",
            "fax_number": "843-393-0209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 E MCIVER RD",
            "city": "DARLINGTON",
            "state": "SC",
            "postal_code": "295328106",
            "telephone_number": "843-393-0996",
            "fax_number": "843-393-0209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO RURAL & FIRE DEPT",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-27",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A",
        "authorized_official_last_name": "SPIVEY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "843-393-0996",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "SC",
            "license": "32701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32701",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Darlington, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; 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.

Verify at the official NPI Registry.