Active NPI
Pageland Rescue Squad
- Land Ambulance
- Pageland, SC
National Provider Identifier
1649982810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- PAGELAND RESCUE SQUAD
- Practice address
- 110 N Oak St
Pageland, SC 29728-1867 - Phone
- (843) 672-6737
- NPI assigned
- Dec 20, 2022
- Last updated
- Feb 28, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Robert Petrucci, MS, NRP
- Title
- BLS Coordinator
- Phone
- (803) 577-7153
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | NU | Primary |
Addresses
Primary practice location
110 N Oak St
Pageland, SC 29728-1867
Mailing address
PO Box 507
Pageland, SC 29728-0507
Phone (843) 672-6737
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 42D2210959 | Pageland Rescue Squad | Certificate of waiver | Jan 24, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1671494400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1677542400000",
"number": "1649982810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 507",
"city": "PAGELAND",
"state": "SC",
"postal_code": "297280507",
"telephone_number": "843-672-6737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 N OAK ST",
"city": "PAGELAND",
"state": "SC",
"postal_code": "297281867",
"telephone_number": "843-672-6737"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAGELAND RESCUE SQUAD",
"organizational_subpart": "NO",
"enumeration_date": "2022-12-20",
"last_updated": "2023-02-28",
"certification_date": "2023-02-28",
"status": "A",
"authorized_official_last_name": "PETRUCCI",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "BLS COORDINATOR",
"authorized_official_telephone_number": "803-577-7153",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MS, NRP"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pageland, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; 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.