JOHNSONVILLE RESCUE SQUAD AND AMBULANCE SERVICE INC (NPI# 1235257734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235257734 |
| Entity Type | Organization |
| Organization Name | JOHNSONVILLE RESCUE SQUAD AND AMBULANCE SERVICE INC |
| Practice Address |
207 East Broadway St Johnsonville SC 29555 |
| Mailing Address |
207 East Broadway St P O Box 1021 Johnsonville SC 29555 |
| Practice Telephone | 8433862821 |
| Practice Fax Number | 8433863938 |
| Mailing Telephone | 8433862821 |
| Mailing Fax Number | 8433863938 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. THOMAS E REDMOND (CHIEF) |
| Authorized Official Telephone | 8433863511 |
| Authorized Official Credential | EMT-P |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
091 | SC | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | AB0191 | 05 |
| Street Address |
207 EAST BROADWAY ST |
| City | JOHNSONVILLE |
| State | SC |
| Zip Code | 29555 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518355080 | Carol A. Baker, Dmd, Pa | Clinic/Center | 144 E. Broadway St, Johnsonville, SC 29555 | 2015-01-06 |
| 1275871345 | Florence County School District Five | Skilled Nursing Facility | 156 East Marion Street, Johnsonville, SC 29555 | 2013-01-24 |
| 1295073559 | Florence School District Five | Local Education Agency (LEA) | 156 East Marion St., Johnsonville, SC 29555 | 2013-01-22 |
| 1073802633 | Johnsonville Adult Day Center | Non-emergency Medical Transport (VAN) | 351 S. Midway Highway, Johnsonville, SC 29555 | 2011-04-05 |
| 1114006897 | Florence County School District Five | Clinic/Center | 237 S. Georgetown Hwy, Johnsonville, SC 29555 | 2006-11-03 |
| 1124119342 | Derrick Allan Wall | Pharmacist | 239 Stuckey St, Johnsonville, SC 29555 | 2006-09-27 |
| 1245321363 | Wall Drugs of Johnsonville, Inc. | Pharmacy | 239 Stuckey Street, Johnsonville, SC 29555 | 2006-09-27 |
| 1770682312 | Lower Florence County Hospital | Clinic/Center | 625 S Georgetown Hwy, Johnsonville, SC 29555 | 2006-09-21 |
| 1912001645 | Mcleod Physician Associates II | Clinic/Center | 355 South Georgetown Highway, Johnsonville, SC 29555 | 2006-09-12 |
| 1386688190 | Carol Anne Baker | Dentist | 144 East Broadway St, Johnsonville, SC 29555 | 2006-06-15 |
| Find all providers in zip 29555 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659991990 | 4ourboys LLC | Ambulance | 1643 Highway 544, Conway, SC 29526-8452 | 2020-04-16 |
| 1205469657 | Carolina Emergency Medical Services | Ambulance | 1004 Ella St Apt B, Anderson, SC 29621-4808 | 2020-02-13 |
| 1043841844 | Atlas Ems LLC | Ambulance | 2260 Powdersville Rd, Easley, SC 29642-8921 | 2020-01-30 |
| 1649820937 | Lifeguard Ambulance Service LLC | Ambulance | 145 Medical Center Dr, Gaffney, SC 29340-4823 | 2019-09-18 |
| 1144790361 | Hope Medical Transport and Training, LLC | Ambulance | 308 Lake Moultrie Dr, Bonneau, SC 29431-8540 | 2018-11-30 |
| 1194200063 | Port City Ambulance Service LLC | Ambulance | 2357 N Highway 17 Ste 210, Mount Pleasant, SC 29466-6853 | 2018-09-26 |
| 1154824563 | Southmed Ambulance Service LLC | Ambulance | 9b Willow Dr, Sumter, SC 29150-4139 | 2018-03-12 |
| 1205354669 | Move Around Distribution LLC | Ambulance | 1688 Katy Ln, Tega Cay, SC 29708-8974 | 2017-09-06 |
| 1710419692 | Transpro Medical Transport | Ambulance | 282 Center Dr, Myrtle Beach, SC 29572-5613 | 2017-03-30 |
| 1609307586 | Secure Transportation Services | Ambulance | 5402 Old York Rd, Rock Hill, SC 29732-9592 | 2017-03-23 |
| Find all providers with the same taxonomy | ||||
| City | JOHNSONVILLE |
| Zip Code | 29555 |
Please comment or provide details below to improve the information on JOHNSONVILLE RESCUE SQUAD AND AMBULANCE SERVICE INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.