Active NPI
Horry County Rescue Squad
- Land Ambulance
- Loris, SC
National Provider Identifier
1124406319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 174
- Legal business name
- HORRY COUNTY RESCUE SQUAD
- Practice address
- 4302 Meeting St
Loris, SC 29569-2438 - Phone
- (843) 902-1876
- NPI assigned
- May 8, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tevin C Renshaw
- Title
- Asst Chief
- Phone
- (843) 902-1876
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 174 | SC | Primary |
Addresses
Primary practice location
4302 Meeting St
Loris, SC 29569-2438
Mailing address
PO Box 133
Conway, SC 29528-0133
Phone (843) 902-1876
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431043200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1431043200000",
"number": "1124406319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 133",
"city": "CONWAY",
"state": "SC",
"postal_code": "295280133",
"telephone_number": "843-902-1876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4302 MEETING ST",
"city": "LORIS",
"state": "SC",
"postal_code": "295692438",
"telephone_number": "843-902-1876"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HORRY COUNTY RESCUE SQUAD",
"organizational_subpart": "NO",
"enumeration_date": "2015-05-08",
"last_updated": "2015-05-08",
"status": "A",
"authorized_official_last_name": "RENSHAW",
"authorized_official_first_name": "TEVIN",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "ASST CHIEF",
"authorized_official_telephone_number": "843-902-1876"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "SC",
"license": "174",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Loris, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.