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Contact Information

JOHNSONVILLE RESCUE SQUAD AND AMBULANCE SERVICE INC
207 EAST BROADWAY ST
JOHNSONVILLE, SC29555
 Phone: 843-386-2821
 Fax: 843-386-3938
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Land Transport

3416L0300X 59 Ambulance Service Provider
Indicates primary specialty

NPI Profile & details for JOHNSONVILLE RESCUE SQUAD AND AMBULANCE SERVICE INC

NPI # 1235257734
LBN Legal business name JOHNSONVILLE RESCUE SQUAD AND AMBULANCE SERVICE INC
Authorized official THOMAS REDMOND - (CHIEF)
Entity Organization
Organization subpart 1 No
Enumeration date 03/26/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
SC License # 091
SC Medicaid AB0191
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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