Fort Mill Rescue Squad

Primary specialty

AmbulanceTaxonomy code 341600000X

License

078 Issued in SC

Legal business name

FORT MILL RESCUE SQUAD

Practice address

216 S White St
Fort Mill, SC 29715-2154

Phone

(803) 957-7111

Fax

(803) 957-7115

NPI assigned

Aug 23, 2005

Last updated

May 15, 2012By 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. Timothy James McMichael, NREMT-P

Title

Director

Phone

(803) 548-1456

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

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

CLIA laboratory certificates

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337040000000",
    "number": "1548253784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1011",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297161011",
            "telephone_number": "803-548-1456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 S WHITE ST",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297152154",
            "telephone_number": "803-957-7111",
            "fax_number": "803-957-7115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT MILL RESCUE SQUAD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-23",
        "last_updated": "2012-05-15",
        "status": "A",
        "authorized_official_last_name": "MCMICHAEL",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "803-548-1456",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NREMT-P"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "SC",
            "license": "078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Fort Mill Optical Inc (Fort Mill Vision Center)
• Fort Mill Pharmacy
• Fort Mill School District #4
• Fort Mill Smiles Dentistry, PC (Fort Mill Smiles Dentistry)
• Fort Mill Spine and Sports Rehab, LLC
• Foundation Health Systems LLC (Novant Health Rehabilitation Center)
• Foundation Health Systems LLC (Novant Health Rehabilitation Center)

• Ambulance in Fort Mill, SC
• Providers in Fort Mill, SC by specialty
• Ambulance in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.