Active NPI
North Myrtle Beach Rescue Squad
- Ambulance
- North Myrtle Beach, SC
National Provider Identifier
1801047402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 067
- Legal business name
- NORTH MYRTLE BEACH RESCUE SQUAD
- Practice address
- 1002 6TH Ave S
North Myrtle Beach, SC 29582-3318 - Phone
- (843) 272-3144
- NPI assigned
- Oct 1, 2008
- 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
- Mr. Kip Mitchell, EMT
- Title
- Captain
- Phone
- (843) 272-3144
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 067 | SC | Primary |
Addresses
Primary practice location
1002 6TH Ave S
North Myrtle Beach, SC 29582-3318
Mailing address
PO Box 555
North Myrtle Beach, SC 29597-0555
Phone (843) 272-3144
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 |
|---|---|---|---|
| 42D0705383 | North Myrtle Beach Rescue | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryLocations
1002 6th Ave S
North Myrtle Beach, SC 29582
Phone (843) 272-3144
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222819200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1222819200000",
"number": "1801047402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 555",
"city": "NORTH MYRTLE BEACH",
"state": "SC",
"postal_code": "295970555",
"telephone_number": "843-272-3144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1002 6TH AVE S",
"city": "NORTH MYRTLE BEACH",
"state": "SC",
"postal_code": "295823318",
"telephone_number": "843-272-3144"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH MYRTLE BEACH RESCUE SQUAD",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-01",
"last_updated": "2008-10-01",
"status": "A",
"authorized_official_last_name": "MITCHELL",
"authorized_official_first_name": "KIP",
"authorized_official_title_or_position": "CAPTAIN",
"authorized_official_telephone_number": "843-272-3144",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "EMT"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "SC",
"license": "067",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Myrtle Beach, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2008; 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.