Active NPI
Volunteer Rescue Squad of Myrtle Beach Inc
Doing business as Myrtle Beach Rescue
- Ambulance
- Myrtle Beach, SC
National Provider Identifier
1396794442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 158
- Legal business name
- VOLUNTEER RESCUE SQUAD OF MYRTLE BEACH INC
- Doing business as
- Myrtle Beach Rescue
- Practice address
- 3116 Shetland LN BLDG Unit2425
Myrtle Beach, SC 29577 - Phone
- (843) 457-0600
- NPI assigned
- May 8, 2006
- Last updated
- May 18, 2018
- 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
- Victoria Elizabeth Moshoures, MD
- Title
- MD/Director
- Phone
- (843) 267-3837
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 158 | SC | Primary |
Addresses
Primary practice location
3116 Shetland LN BLDG Unit2425
Myrtle Beach, SC 29577
Mailing address
5005 Sunset Blvd
Lexington, SC 29072-9154
Phone (803) 957-7111
Other names 1
- Myrtle Beach Rescue
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 42D2091339 | Myrtle Beach Rescue Squad | Certificate of waiver | Feb 10, 2027 |
National Provider Directory
National Provider DirectoryLocations
1004 Carver St
Myrtle Beach, SC 29577
Phone (843) 626-7352
3116 Shetland Ln
Unit 24
Myrtle Beach, SC 29577
Phone (843) 626-7352
3116 Shetland Ln
Unit 2425
Myrtle Beach, SC 29577
Phone (843) 457-0600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147046400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1526601600000",
"number": "1396794442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5005 SUNSET BLVD",
"city": "LEXINGTON",
"state": "SC",
"postal_code": "290729154",
"telephone_number": "803-957-7111",
"fax_number": "803-957-7115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3116 SHETLAND LN BLDG UNIT2425",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "29577",
"telephone_number": "843-457-0600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VOLUNTEER RESCUE SQUAD OF MYRTLE BEACH INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-08",
"last_updated": "2018-05-18",
"status": "A",
"authorized_official_last_name": "MOSHOURES",
"authorized_official_first_name": "VICTORIA",
"authorized_official_middle_name": "ELIZABETH",
"authorized_official_title_or_position": "MD/DIRECTOR",
"authorized_official_telephone_number": "843-267-3837",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "SC",
"license": "158",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Myrtle Beach Rescue",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Myrtle Beach Rescue",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Myrtle Beach, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.