FORK RESCUE SQUAD
NPI 1598787467
Ambulance - Land Transport in Townville, SC

NPI Status: Active since July 23, 2006

Contact Information

8513 HIGHWAY 24
TOWNVILLE, SC
ZIP 29689
Phone: (864) 287-4882
Fax: (864) 287-4889

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  • Organization
  • Ambulance
  • Land Transport
  • CLIA Number: 42D2084085
  • CLIA Cert. Type: Ambulance
  • CLIA Exp. Date: 09-17-2026

About FORK RESCUE SQUAD

This page provides the complete NPI Profile along with additional information for Fork Rescue Squad, a provider established in Townville, South Carolina operating as a Ambulance, focusing in land transport . The healthcare provider is registered in the NPI registry with number 1598787467 assigned on July 2006. The practitioner's primary taxonomy code is 3416L0300X with license number 061 (SC). The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Mr. Sammy Buchanan (Chairman Of The Board Of Director)

NPI
1598787467
Provider Name
FORK RESCUE SQUAD
Entity Type
Organization
Location Address
8513 HIGHWAY 24 TOWNVILLE, SC 29689
Location Phone
(864) 287-4882
Location Fax
(864) 287-4889
Mailing Address
PO BOX 126 TOWNVILLE, SC 29689
Mailing Phone
(864) 287-4882
Mailing Fax
(864) 287-4889
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-23-2006
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Ambulance Land Transport

Taxonomy Code
3416L0300X
Type
Transportation Services
License No.
061
License State
SC

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. SAMMY BUCHANAN

Authorized Official Title
CHAIRMAN OF THE BOARD OF DIRECTOR
Authorized Official Phone
(864) 287-4882

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
AB0116MEDICAID (05)SC 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
42D2084085
Facility Type
Ambulance
Certificate Effective Date
September 18, 2024
Certificate Expiration Date
September 17, 2026
Laboratory Director
JONATHAN M. BRYANT
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Fork Rescue Squad to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1598787467
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2518814814412
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 8 + 8 + 1 + 4 + 8 + 1 + 4 + 4 + 1 + 2 + 24 = 73
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 73 = 77

The NPI number 1598787467 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1598787467, enumerated in the NPI registry as an "organization" on July 23, 2006

The provider is located at 8513 Highway 24 Townville, Sc 29689 and the phone number is (864) 287-4882

This medical organization specializes in Ambulance with taxonomy code 3416L0300X with a focus in Land Transport

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 42D2084085 for a "ambulance" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on July 23, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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