River Hills Emergency Squad Inc

Primary specialty

AmbulanceTaxonomy code 341600000X

License

150 Issued in SC

Legal business name

RIVER HILLS EMERGENCY SQUAD INC

Doing business as

River HIlls / Lake Wylie EMS

Practice address

4 Heritage Dr
Lake Wylie, SC 29710-9203

Phone

(803) 322-0227

Fax

(803) 831-9888

NPI assigned

Aug 5, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Richard Mann

Title

Director

Phone

(803) 322-0227

Specialties & licenses 1

Addresses

Other names 1

• River HIlls / Lake Wylie EMS Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

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

{
    "created_epoch": "1280966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281916800000",
    "number": "1316251986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 HERITAGE DR",
            "city": "LAKE WYLIE",
            "state": "SC",
            "postal_code": "297109203",
            "telephone_number": "803-322-0227",
            "fax_number": "803-831-9888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 HERITAGE DR",
            "city": "LAKE WYLIE",
            "state": "SC",
            "postal_code": "297109203",
            "telephone_number": "803-322-0227",
            "fax_number": "803-831-9888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER HILLS EMERGENCY SQUAD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-05",
        "last_updated": "2010-08-16",
        "status": "A",
        "authorized_official_last_name": "MANN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "803-322-0227",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "SC",
            "license": "150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "River HIlls / Lake Wylie EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ambulance in Lake Wylie, SC
• Providers in Lake Wylie, SC by specialty
• Ambulance in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2010; 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.