Wallace Fire Rescue

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

WALLACE FIRE RESCUE

Practice address

4013 Highway 177
Wallace, SC 29596-8811

Phone

(843) 910-0806

Fax

(843) 253-5119

NPI assigned

Apr 18, 2017

Organization subpart

No

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

Authorized official

Name

Bryan Sweatt

Title

Chief

Phone

(843) 910-0806

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

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

{
    "created_epoch": "1492473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684454400000",
    "number": "1992239834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 245",
            "city": "WALLACE",
            "state": "SC",
            "postal_code": "295960245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4013 HIGHWAY 177",
            "city": "WALLACE",
            "state": "SC",
            "postal_code": "295968811",
            "telephone_number": "843-910-0806",
            "fax_number": "843-253-5119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALLACE FIRE RESCUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-18",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A",
        "authorized_official_last_name": "SWEATT",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "843-910-0806"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Wallace, SC
• Voluntary or Charitable Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.