WILLIAMSTON RESCUE SQUAD (NPI# 1508948704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508948704 |
| Entity Type | Organization |
| Organization Name | WILLIAMSTON RESCUE SQUAD |
| Other Organization Name | WILLIAMSTON EMS |
| Practice Address |
902 Anderson Dr Williamston SC 29697-1306 |
| Practice Telephone | 8648479584 |
| Practice Fax Number | 8548479584 |
| Mailing Telephone | 8648479584 |
| Mailing Fax Number | 8548479584 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2008-04-09 |
| Authorized Official Name | MR. JOSEPH KENNETH BARR JR. (ADMINISTRATOR) |
| Authorized Official Telephone | 8648479584 |
| Authorized Official Credential | EMT-P |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 343800000X | Secured Medical Transport (VAN) | 7462 | SC | Transportation Services |
| Y | 341600000X | Ambulance | 120 | SC | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | AB0107 | 05 |
| Other Name | Type Code |
|---|---|
| Williamston EMS | Doing Business As Name - Organization |
| Street Address |
902 ANDERSON DR |
| City | WILLIAMSTON |
| State | SC |
| Zip Code | 29697-1306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760893705 | Daniel Alexander Ellis | Occupational Therapy Assistant | 801 N. Hamilton St., Williamston, SC 29697 | 2014-05-13 |
| 1093134108 | Luz Brown | Pharmacist | 102 Wood Stream Way, Williamston, SC 29697 | 2014-04-16 |
| 1144644410 | Lynne Phillips | Registered Nurse | 804 N. Hamilton Street, Williamston, SC 29697 | 2014-02-07 |
| 1396969556 | Ambucare Ambulance LLC. | Non-emergency Medical Transport (VAN) | 303 Beaverdam Road, Williamston, SC 29697 | 2007-04-12 |
| 1275676892 | Jorge Antonio Perdomo | Social Worker | 900 Greenville Drive, Williamston, SC 29697 | 2007-02-14 |
| 1245301985 | Complete Healing & Wellness Center P.a. | Chiropractor | 24 East Main St, Williamston, SC 29697 | 2006-11-13 |
| 1255402905 | Jack D Wise Jr. | Chiropractor | 24 East Main Street, Williamston, SC 29697 | 2006-11-13 |
| 1285839563 | Lou Wingo Rogers | Counselor | 900 Greenville Drive, Williamston, SC 29697 | 2007-06-18 |
| 1578634218 | Marylouise Schultz Wise | Chiropractor | 24 East Main St, Williamston, SC 29697 | 2006-11-13 |
| 1447654363 | New Dominion Community Services LLC | Counselor | 900 Greenville Drive, Williamston, SC 29697-0000 | 2014-10-21 |
| Find all providers in zip 29697 | ||||
| Taxonomy Code | 341600000X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). |
| Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 37. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447428313 | Northeast Ingham Emergency Services Authority | Ambulance | 1296 W Grand River Ave, Williamston, MI 48895-9771 | 2008-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164022372 | Palmetto Medical Transportation, LLC | Ambulance | 161 Centre St, Orangeburg, SC 29115-6043 | 2020-10-27 |
| 1336768399 | Merit Transport Inc | Ambulance | 528 Piedmont Ave, Myrtle Beach, SC 29577-6362 | 2020-04-10 |
| 1962067173 | Guardian Medical Transit, LLC | Ambulance | 10838 Kings Rd Ste 25, Myrtle Beach, SC 29572-6070 | 2019-05-02 |
| 1982198289 | Lifeguard Ambulance Service LLC | Ambulance | 3111 Meeting Street Rd Unit A, North Charleston, SC 29405-7980 | 2018-06-20 |
| 1669978474 | Ermobile LLC | Ambulance | 107 David St, Easley, SC 29640-3530 | 2018-04-02 |
| 1871001693 | Med Way Ambulance Service, LLC | Ambulance | 1627 E Palmetto St, Florence, SC 29506 | 2018-01-15 |
| 1407361512 | Lifeguard Ambulance Service LLC | Ambulance | 3908 Highway 9, Cheraw, SC 29520-6681 | 2017-12-12 |
| 1669987087 | Crystal River Medical Transportation LLC | Ambulance | 104 Dean Ct, Lexington, SC 29073-2907 | 2017-12-07 |
| 1578076022 | Demario Sawyer Sr | Ambulance | 107 N Royal Tower Dr Ste C, Irmo, SC 29063 | 2017-11-07 |
| 1457887747 | Chesterfield County Rescue Squad Inc. Unit 2 | Ambulance | 103 Cotton St, Chesterfield, SC 29709-1526 | 2017-05-04 |
| Find all providers with the same taxonomy | ||||
| City | WILLIAMSTON |
| Zip Code | 29697 |
Please comment or provide details below to improve the information on WILLIAMSTON RESCUE SQUAD.
| 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.