NPIMap

Organization Active NPI

Clover Rescue Squad, Inc.

  • Ambulance
  • Clover, SC
National Provider Identifier
1457319634
Registry record updated Mar 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
080 Issued in SC
Legal business name
CLOVER RESCUE SQUAD, INC.
Practice address
114 Bethel St Ste 101
Clover, SC 29710-1127
Phone
(803) 222-1219
Fax
(803) 222-1219
NPI assigned
May 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2012

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

Authorized official

Name
Mrs. Kimberly M. Hinkle, EMT-B, MA
Title
Administrator/ 1St Lieutenant
Phone
(803) 222-1219

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 080 SC Primary

Addresses

Primary practice location

114 Bethel St Ste 101
Clover, SC 29710-1127

Mailing address

114 Bethel St Ste 101
Clover, SC 29710-1127
Phone (803) 222-1219

National Provider Directory

National Provider Directory

Locations

114 Bethel St
Clover, SC 29710
Phone (803) 222-1219

114 Bethel St
Ste 101
Clover, SC 29710
Phone (803) 222-1219

114 Bethel St
#101
Clover, SC 29710
Phone (803) 222-1219

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331683200000",
    "number": "1457319634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 BETHEL ST STE 101",
            "city": "CLOVER",
            "state": "SC",
            "postal_code": "297101127",
            "telephone_number": "803-222-1219",
            "fax_number": "803-222-1219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 BETHEL ST STE 101",
            "city": "CLOVER",
            "state": "SC",
            "postal_code": "297101127",
            "telephone_number": "803-222-1219",
            "fax_number": "803-222-1219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLOVER RESCUE SQUAD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2012-03-14",
        "status": "A",
        "authorized_official_last_name": "HINKLE",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "ADMINISTRATOR/ 1ST LIEUTENANT",
        "authorized_official_telephone_number": "803-222-1219",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "EMT-B, MA"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "SC",
            "license": "080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clover, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2012; 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.