Organization Active NPI

Pageland Rescue Squad

  • Land Ambulance
  • Pageland, SC
National Provider Identifier
1649982810
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

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)CodeLicenseStatePrimary
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 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
42D2210959Pageland Rescue Squad110 N Oak St, Pageland, SC 29728Certificate of waiverJan 24, 2027

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.