NPIMap

Organization Active NPI

Society Hill Rescue Squad

  • Land Ambulance
  • Society Hill, SC
National Provider Identifier
1669837936
Registry record updated Dec 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
066 Issued in SC
Legal business name
SOCIETY HILL RESCUE SQUAD
Practice address
280 S Main St
Society Hill, SC 29593
Phone
(843) 250-4436
NPI assigned
Dec 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2015

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

Authorized official

Name
Charles Allen Tisdale
Title
Paramedic / Asst Captain
Phone
(843) 601-5553

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 066 SC Primary

Addresses

Primary practice location

280 S Main St
Society Hill, SC 29593

Mailing address

PO Box 291
Society Hill, SC 29593-0291
Phone (843) 250-4436

National Provider Directory

National Provider Directory
Tax ID family
Society Hill Rescue Squad3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1451433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451433600000",
    "number": "1669837936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 291",
            "city": "SOCIETY HILL",
            "state": "SC",
            "postal_code": "295930291",
            "telephone_number": "843-250-4436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 S MAIN ST",
            "city": "SOCIETY HILL",
            "state": "SC",
            "postal_code": "29593",
            "telephone_number": "843-250-4436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCIETY HILL RESCUE SQUAD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-30",
        "last_updated": "2015-12-30",
        "status": "A",
        "authorized_official_last_name": "TISDALE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PARAMEDIC / ASST CAPTAIN",
        "authorized_official_telephone_number": "843-601-5553"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "SC",
            "license": "066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Society Hill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2015; 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.