Organization Active NPI

Hartsville Rescue Squad Inc

  • Ambulance
  • Hartsville, SC
National Provider Identifier
1528279676
Registry record updated Jun 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
190 Issued in SC
Legal business name
HARTSVILLE RESCUE SQUAD INC
Practice address
305 Marlboro Ave
Hartsville, SC 29550-4539
Phone
(843) 383-9326
NPI assigned
May 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2009

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

Authorized official

Name
Mr. Wayne Astralla, EMT-I
Title
Chief
Phone
(843) 307-0591

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 190 SC Primary

Addresses

Primary practice location

305 Marlboro Ave
Hartsville, SC 29550-4539

Mailing address

305 Marlboro Ave
PO Box 2094
Hartsville, SC 29550-4539
Phone (843) 383-9326

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D2259488Hartsville Rescue Squad305 Marlboro Avenue, Hartsville, SC 29550Certificate of waiverMay 5, 2028

National Provider Directory

National Provider Directory

Locations

305 Marlboro Ave
Hartsville, SC 29550
Phone (843) 383-9326

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243814400000",
    "number": "1528279676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 MARLBORO AVE",
            "address_2": "PO BOX 2094",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "295504539",
            "telephone_number": "843-383-9326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 MARLBORO AVE",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "295504539",
            "telephone_number": "843-383-9326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARTSVILLE RESCUE SQUAD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2009-06-01",
        "status": "A",
        "authorized_official_last_name": "ASTRALLA",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "843-307-0591",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "EMT-I"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "SC",
            "license": "190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartsville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.