{"npi":"1093700742","type":"NPI-2","status":"active","name":{"display":"Southside Rescue Squad INC","other":[],"organization_name":"SOUTHSIDE RESCUE SQUAD INC","authorised_official":"Floyd Edmonds"},"specialty":{"primary_taxonomy":"341600000X","primary_taxonomy_description":"Ambulance","slug":"ambulance","schema_org_specialty":null,"all":[{"code":"341600000X","description":"Ambulance","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"810 W ATLANTIC ST","city":"SOUTH HILL","state":"VA","postal_code":"239701808","country_code":"US","phone":"4344475038"},{"purpose":"MAILING","street_1":"PO BOX 660","city":"SOUTH HILL","state":"VA","postal_code":"239700660","country_code":"US","phone":"4344475038"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"4906637","state":"NC","issuer":null},{"type_code":"01","label":"Other","value":"351129","state":"VA","issuer":"ANTHEM"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20091223000331","type_code":"12-59","type_desc":"PART B SUPPLIER - AMBULANCE SERVICE SUPPLIER","state":"VA","pac_id":"3375683360"}]},"enumeration_date":"2005-09-19","last_updated":"2007-10-15","_meta":{"source":"NPPES","snapshot_date":"2007-10-15","doc_url":"https://findmynpi.com/api"}}