# OAKWAY RESCUE SQUAD, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225415573
- **Authorized official:** SAMUEL JAMES MAST (CEO)
- **Authorized official phone:** (864) 972-7377

## Contact information

- **Practice address:** 5480 WEST OAK HIGHWAY, WESTMINSTER, SC 29693
- **Practice address phone:** (864) 972-7377
- **Mailing address:** PO BOX 62, FAIR PLAY, SC 29643-0062
- **Mailing address phone:** (864) 972-7377

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 379 | SC | Yes |

## Other

- **Enumeration date:** 05/06/2015
- **Last updated:** 03/14/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | APPLIED FOR | — | SC |