Wellford Rescue 21

Primary specialty

AmbulanceTaxonomy code 341600000X

License

110 Issued in SC

Legal business name

WELLFORD RESCUE 21

Practice address

242 N Craft St
Wellford, SC 29385-9629

Phone

(864) 439-7377

NPI assigned

Aug 5, 2006

Organization subpart

No

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

Authorized official

Name

Tonia Gibbs

Title

Director

Phone

(864) 439-7377

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427067115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1245",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294880013",
            "telephone_number": "843-549-3444",
            "fax_number": "843-549-3474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 N CRAFT ST",
            "city": "WELLFORD",
            "state": "SC",
            "postal_code": "293859629",
            "telephone_number": "864-439-7377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLFORD RESCUE 21",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GIBBS",
        "authorized_official_first_name": "TONIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "864-439-7377"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "SC",
            "license": "110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "502762",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Spill the Tea Counseling and Therapeutic Services
• Kelsey Stoker, DNP, APRN, FNP-BC
• The Reid House
• Wellford Family Medicine PC
• Wellford Medicine, LLC
• India Elizabeth Wofford

• All providers in Wellford, SC
• 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.