Jackson First Alert

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

JACKSON FIRST ALERT

Practice address

508 Atomic Street
Jackson, SC 29831

Phone

(803) 471-2637

NPI assigned

Apr 17, 2007

Last updated

Aug 22, 2020By 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

Mr. David Weathersby

Title

Director

Phone

(803) 471-2482

Specialties & licenses 1

Addresses

Other identifiers 1

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

  dba Jackson First Alert Rescue Squad

  • Ambulance
  • Jackson, SC
  • NPI 1679746333
  NPD tax ID

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720204811",
    "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": "803-471-2637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 ATOMIC STREET",
            "city": "JACKSON",
            "state": "SC",
            "postal_code": "29831",
            "telephone_number": "803-471-2637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON FIRST ALERT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEATHERSBY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "803-471-2482",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ABO221",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Greene Brittain, RN, BSN
• Carol Laceshia Clark, LPN
• Anita Whitmire Creamer, OTR/L
• Jackson First Alert (Jackson First Alert Rescue Squad)
• Abbey Robertson
• Rural Health Services, Inc. (Margaret J. Weston Community Health Centers)
• Marvina Wright

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.