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Organization
OAKWAY RESCUE SQUAD, INC.
Active
Organization
OAKWAY RESCUE SQUAD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL JAMES MAST (CEO)
(864) 972-7377
Entity
Organization
Contact information
Practice address
5480 WEST OAK HIGHWAY, WESTMINSTER, SC 29693
(864) 972-7377
Mailing address
PO BOX 62, FAIR PLAY, SC 29643-0062
(864) 972-7377
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
379
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
APPLIED FOR
—
SC
Enumeration date
05/06/2015
Last updated
03/14/2017
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