Organization Active NPI

Horry County Rescue Squad

  • Land Ambulance
  • Loris, SC
National Provider Identifier
1124406319
Registry record updated May 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
174 Issued in SC
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

Updated by the provider on May 8, 2015

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.