Active NPI
Marion Rescue Squad Inc
- Ambulance
- Marion, SC
National Provider Identifier
1689906463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 074
- Legal business name
- MARION RESCUE SQUAD INC
- Practice address
- 107 E Bond St
Marion, SC 29571-3627 - Phone
- (843) 289-2622
- NPI assigned
- Feb 4, 2010
- Last updated
- Jan 19, 2024
- 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
- Chandler Tisdale
- Title
- Operations/Data Manager
- Phone
- (843) 423-8602
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 074 | SC | Primary |
Addresses
Primary practice location
107 E Bond St
Marion, SC 29571-3627
Mailing address
PO Box 84278
Lexington, SC 29073-0005
Phone (803) 957-7111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100608000485 | SC | Part B Supplier - Ambulance Service Supplier | 5294865879 | Practice locations: Marion, SC |
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 |
|---|---|---|---|
| 42D2040384 | Marion Rescue Squad Inc | Certificate of waiver | Apr 29, 2028 |
National Provider Directory
National Provider DirectoryLocations
107 E Bond St
Marion, SC 29571
Phone (843) 289-2622
601 E Godbold St
Marion, SC 29571
Phone (843) 423-8602
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265241600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1705622400000",
"number": "1689906463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 84278",
"city": "LEXINGTON",
"state": "SC",
"postal_code": "290730005",
"telephone_number": "803-957-7111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 E BOND ST",
"city": "MARION",
"state": "SC",
"postal_code": "295713627",
"telephone_number": "843-289-2622"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARION RESCUE SQUAD INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-02-04",
"last_updated": "2024-01-19",
"certification_date": "2023-12-21",
"status": "A",
"authorized_official_last_name": "TISDALE",
"authorized_official_first_name": "CHANDLER",
"authorized_official_title_or_position": "OPERATIONS/DATA MANAGER",
"authorized_official_telephone_number": "843-423-8602"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "SC",
"license": "074",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marion, SC
- Marion County Women's Care
- Marion Medical Group PA
- Marion Nursing Center,Inc
- Marion Physical Therapy, LLC
- Marion Physician Services LLC (Marion Medical Group)
- Marion School District One
- Marion-Dillon County Board of Disabilities and Special Needs
- Marlboro County Rescue Squad Inc (Palmetto Transport Systems)
- Aimee Wiggins Martin, FNP
- Rachel J. Mason, ED.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; 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.