Provider Demographics
NPI:1720214117
Name:DARLINGTON FIREMAN'S RESCUE SQUAD
Entity Type:Organization
Organization Name:DARLINGTON FIREMAN'S RESCUE SQUAD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CAPTAIN
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:R
Authorized Official - Last Name:ARNOLD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-616-1848
Mailing Address - Street 1:107 S SYCAMORE ST
Mailing Address - Street 2:
Mailing Address - City:DARLINGTON
Mailing Address - State:SC
Mailing Address - Zip Code:29532-3957
Mailing Address - Country:US
Mailing Address - Phone:843-395-9393
Mailing Address - Fax:843-968-8270
Practice Address - Street 1:107 S SYCAMORE ST
Practice Address - Street 2:
Practice Address - City:DARLINGTON
Practice Address - State:SC
Practice Address - Zip Code:29532-3957
Practice Address - Country:US
Practice Address - Phone:843-395-9393
Practice Address - Fax:843-968-8270
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-31
Last Update Date:2013-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC0943416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCQ352450001Medicare PIN