Provider Demographics
NPI:1912907262
Name:RESCUE SERVICES INTERNATIONAL, LTD
Entity Type:Organization
Organization Name:RESCUE SERVICES INTERNATIONAL, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO / PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-385-0440
Mailing Address - Street 1:12806 SCHABARUM AVE
Mailing Address - Street 2:STE A
Mailing Address - City:IRWINDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91706-6805
Mailing Address - Country:US
Mailing Address - Phone:626-385-0440
Mailing Address - Fax:
Practice Address - Street 1:12806 SCHABARUM AVE
Practice Address - Street 2:STE A
Practice Address - City:IRWINDALE
Practice Address - State:CA
Practice Address - Zip Code:91706-6805
Practice Address - Country:US
Practice Address - Phone:626-385-0440
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-28
Last Update Date:2017-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAMTE01038FMedicaid
CAZ504Medicare PIN