The Great Falls Rescue Squad

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

166 Issued in SC

Legal business name

THE GREAT FALLS RESCUE SQUAD

Practice address

560 Chester Ave
Great Falls, SC 29055-1208

Phone

(803) 482-4315

Fax

(803) 482-4989

NPI assigned

Oct 4, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Terry D. Sims, FNP-BC, PNP-BC,

Title

Captain

Phone

(803) 482-6258

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1317686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317686400000",
    "number": "1487938767",
    "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": "803-482-4315",
            "fax_number": "803-482-4989"
        },
        {
            "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": "803-482-4315",
            "fax_number": "803-482-4989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GREAT FALLS RESCUE SQUAD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-04",
        "last_updated": "2011-10-04",
        "status": "A",
        "authorized_official_last_name": "SIMS",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "CAPTAIN",
        "authorized_official_telephone_number": "803-482-6258",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FNP-BC, PNP-BC,"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "SC",
            "license": "166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• National Outreach and Wellness Center LLC
• Novant Medical Group, Inc.
• Old Souls New Shoes LLC
• Southern Palmetto Primary Care LLC
• Kristina Starnes, APRN
• The Great Falls Rescue Squad Association
• Kristie Wade, FNP

• All providers in Great Falls, SC
• Land Ambulance in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; 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.