Organization Active NPI

North Myrtle Beach Rescue Squad

  • Ambulance
  • North Myrtle Beach, SC
National Provider Identifier
1801047402
Registry record updated Oct 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
067 Issued in SC
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

Updated by the provider on Oct 1, 2008

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)CodeLicenseStatePrimary
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D0705383North Myrtle Beach Rescue1002 6TH Ave South, North Myrtle Beach, SC 29582Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.