Jackson First Alert

Primary specialty

AmbulanceTaxonomy code 341600000X

License

189 Issued in SC

Legal business name

JACKSON FIRST ALERT

Practice address

18908 Atomic Rd.
Jackson, SC 29831

Phone

(803) 646-2856

NPI assigned

Apr 2, 2008

Organization subpart

No

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

Authorized official

Name

Tabitha Jo Pinto

Title

Director

Phone

(803) 471-2637

Specialties & licenses 1

Addresses

Other names 1

• Jackson First Alert Rescue Squad Doing business as

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

Tax ID family

Jackson First Alert2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Jackson First Alert

  • Ambulance
  • Jackson, SC
  • NPI 1720204811
  NPD tax ID

Locations

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692835200000",
    "number": "1679746333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 332",
            "city": "JACKSON",
            "state": "SC",
            "postal_code": "298310332",
            "telephone_number": "803-646-2856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18908 ATOMIC RD.",
            "city": "JACKSON",
            "state": "SC",
            "postal_code": "29831",
            "telephone_number": "803-646-2856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON FIRST ALERT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-02",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A",
        "authorized_official_last_name": "PINTO",
        "authorized_official_first_name": "TABITHA",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "803-471-2637"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "SC",
            "license": "189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jackson First Alert Rescue Squad",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashley Greene Brittain, RN, BSN
• Carol Laceshia Clark, LPN
• Anita Whitmire Creamer, OTR/L
• Jackson First Alert
• Abbey Robertson
• Rural Health Services, Inc.
• Marvina Wright

• All providers in Jackson, SC
• Ambulance in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; 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.