Provider Demographics
NPI:1841471430
Name:NORTHERN HORRY RESCUE SQUAD
Entity type:Organization
Organization Name:NORTHERN HORRY RESCUE SQUAD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT CHIEF
Authorized Official - Prefix:MRS
Authorized Official - First Name:VICKY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:EMT-I
Authorized Official - Phone:843-997-9721
Mailing Address - Street 1:4302 MEETING ST
Mailing Address - Street 2:
Mailing Address - City:LORIS
Mailing Address - State:SC
Mailing Address - Zip Code:29569-2438
Mailing Address - Country:US
Mailing Address - Phone:843-756-5959
Mailing Address - Fax:
Practice Address - Street 1:4302 MEETING ST
Practice Address - Street 2:
Practice Address - City:LORIS
Practice Address - State:SC
Practice Address - Zip Code:29569-2438
Practice Address - Country:US
Practice Address - Phone:843-756-5959
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-24
Last Update Date:2007-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC192341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance