Provider Demographics
NPI:1306210075
Name:MARLBORO COUNTY RESCUE SQUAD INC
Entity Type:Organization
Organization Name:MARLBORO COUNTY RESCUE SQUAD INC
Other - Org Name:PALMETTO TRANSPORT SYSTEMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATIVE ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:DRIGGERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-479-2644
Mailing Address - Street 1:PO BOX 80
Mailing Address - Street 2:
Mailing Address - City:BENNETTSVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29512-0080
Mailing Address - Country:US
Mailing Address - Phone:843-479-2644
Mailing Address - Fax:843-479-8687
Practice Address - Street 1:115 W FAIRLEE ST
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:SC
Practice Address - Zip Code:29571-2907
Practice Address - Country:US
Practice Address - Phone:843-479-2644
Practice Address - Fax:843-479-8687
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MARLBORO COUNTY RESCUE SQUAD INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-11-18
Last Update Date:2016-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC371341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance