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PAGELAND RESCUE SQUAD
NPI 1649982810
Ambulance - Land Transport in Pageland, SC

Active since December 20, 2022CLIA 42D2210959 · Waiver
110 N OAK ST, PAGELAND, SC 29728(843) 672-6737 Get Directions Write a Review

NPPES record last updated: February 28, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 28, 2023, Dec 20, 2022 (2 updates tracked since 2022).

About Pageland Rescue Squad NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAGELAND RESCUE SQUAD (NPI 1649982810) is a healthcare organization registered as a land transport in Pageland, South Carolina and active in the NPI registry since December 2022. The organization holds a CLIA Waiver certificate valid through January 24, 2027 and lists Robert Petrucci, Bls Coordinator, as its authorized official.

NPPES Registry Identity

NPI1649982810
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NamePAGELAND RESCUE SQUAD
Location Address110 N OAK STPageland, SC 29728-1867
Mailing AddressPo Box 507Pageland, SC 29728-0507 · (843) 672-6737
Phone(843) 672-6737
Organization SubpartNo
Authorized OfficialRobert PetrucciBls Coordinator · (803) 577-7153
Enumeration DateDecember 20, 2022
Last NPPES UpdateFebruary 28, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 28, 2023
✔ NPI 1649982810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
110 N OAK ST, Pageland, SC 29728
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 42D2210959

Pageland Rescue Squad · Pageland, SC
Active · expires Jan 24, 2027
CLIA Number42D2210959
Laboratory TypeAmbulance
Certificate Effective DateJanuary 25, 2025
Certificate Expiration DateJanuary 24, 2027
Laboratory DirectorJay T. Rivers
Laboratory Phone(843) 680-4488
Laboratory LocationPageland Rescue Squad110 N Oak St, Pageland, SC 29728
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pageland Rescue Squad's NPI number?

The NPI number for Pageland Rescue Squad is 1649982810. It was assigned to this organization in the NPPES registry on December 20, 2022.

Where is Pageland Rescue Squad located?

Pageland Rescue Squad is located at 110 N Oak St, Pageland, SC 29728. The listed phone number is (843) 672-6737.

What is Pageland Rescue Squad's specialty?

The primary specialty registered for this NPI is Ambulance, specializing in Land Transport, with taxonomy code 3416L0300X.

Does Pageland Rescue Squad hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2210959) is associated with this NPI, valid through January 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pageland Rescue Squad was last updated on February 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.