Active NPI
The Great Falls Rescue Squad Association
- Land Ambulance
- Great Falls, SC
National Provider Identifier
1316815442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- THE GREAT FALLS RESCUE SQUAD ASSOCIATION
- Practice address
- 560 Chester Ave
Great Falls, SC 29055-1208 - Phone
- (803) 374-9439
- NPI assigned
- Oct 29, 2025
- Last updated
- Oct 29, 2025
- 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
- Dwayne Robinson Sr.
- Title
- Captain
- Phone
- (803) 374-9439
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
560 Chester Ave
Great Falls, SC 29055-1208
Mailing address
PO Box 371
Great Falls, SC 29055-0371
Phone (803) 374-9439
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260601000385 | SC | Part B Supplier - Ambulance Service Supplier | 7517437585 | Practice locations: Great Falls, SC |
National Provider Directory
National Provider DirectoryLocations
560 Chester Ave
Great Falls, SC 29055
Phone (803) 374-9439
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761696000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761696000000",
"number": "1316815442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 371",
"city": "GREAT FALLS",
"state": "SC",
"postal_code": "290550371",
"telephone_number": "803-374-9439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "560 CHESTER AVE",
"city": "GREAT FALLS",
"state": "SC",
"postal_code": "290551208",
"telephone_number": "803-374-9439"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE GREAT FALLS RESCUE SQUAD ASSOCIATION",
"organizational_subpart": "NO",
"enumeration_date": "2025-10-29",
"last_updated": "2025-10-29",
"certification_date": "2025-10-29",
"status": "A",
"authorized_official_last_name": "ROBINSON",
"authorized_official_first_name": "DWAYNE",
"authorized_official_title_or_position": "CAPTAIN",
"authorized_official_telephone_number": "803-374-9439",
"authorized_official_name_suffix": "Sr."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Great Falls, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; 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.