Lodge Rescue Squad

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

LODGE RESCUE SQUAD

Practice address

395 High Cotton Rd
Lodge, SC 29082-9178

Phone

(803) 957-7111

NPI assigned

Jul 15, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Richard Phillip Carter Sr., DIRECTOR/EMT

Title

Director

Phone

(843) 866-2322

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396744090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5005 SUNSET BLVD",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290729154",
            "telephone_number": "803-957-7111",
            "fax_number": "803-957-7115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 HIGH COTTON RD",
            "city": "LODGE",
            "state": "SC",
            "postal_code": "290829178",
            "telephone_number": "803-957-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LODGE RESCUE SQUAD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "PHILLIP",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "843-866-2322",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "DIRECTOR/EMT"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ambulance in Lodge, SC
• Providers in Lodge, 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 22, 2020; 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.