Pacolet Mills Rescue Squad, Inc

Primary specialty

AmbulanceTaxonomy code 341600000X

License

11900 Issued in SC

Legal business name

PACOLET MILLS RESCUE SQUAD, INC

Practice address

980 Sunny Acres Road
Pacolet, SC 29372-0980

Phone

(864) 474-2539

Fax

(864) 674-1795

NPI assigned

Jul 29, 2006

Last updated

Jun 21, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Pamela Renee Craig, NREMTP,LPN

Title

Treasurer

Phone

(864) 674-6262

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1710991054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 39",
            "city": "PACOLET",
            "state": "SC",
            "postal_code": "293720039",
            "telephone_number": "864-474-2539",
            "fax_number": "864-674-1795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 SUNNY ACRES ROAD",
            "city": "PACOLET",
            "state": "SC",
            "postal_code": "293720980",
            "telephone_number": "864-474-2539",
            "fax_number": "864-674-1795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACOLET MILLS RESCUE SQUAD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "CRAIG",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "864-674-6262",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NREMTP,LPN"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "SC",
            "license": "11900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AB0103",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ambulance in Pacolet, SC
• Providers in Pacolet, SC by specialty
• Ambulance in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.