Surfside Beach Rescue Squad

Primary specialty

AmbulanceTaxonomy code 341600000X

License

112 Issued in SC

Legal business name

SURFSIDE BEACH RESCUE SQUAD

Practice address

829 Pine Dr
Surfside Beach, SC 29578-4011

Phone

(843) 238-1216

NPI assigned

Sep 6, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Clint Alan Elliott, NREMT-B

Title

Chief

Phone

(843) 357-8334

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902909864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 14011",
            "city": "SURFSIDE BEACH",
            "state": "SC",
            "postal_code": "295784011",
            "telephone_number": "843-238-1216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "829 PINE DR",
            "city": "SURFSIDE BEACH",
            "state": "SC",
            "postal_code": "295784011",
            "telephone_number": "843-238-1216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURFSIDE BEACH RESCUE SQUAD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "CLINT",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "843-357-8334",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NREMT-B"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "SC",
            "license": "112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Curtis Lynn Stephens Jr.
• Lori A Stone, PHARMD
• Strand Orthopaedic Consultants, LLC
• Gwendolyn G Strickland, P.A.
• Stuart P. Creson Inc
• Surfside Beach Urgent Care LLC
• Surfside Counseling, LLC
• Surfside Dental LLC (Surfside Family Dentistry)
• Surfside SW LLC (Surfside Smiles)
• Susan Edwards Surratt, FNP

• Ambulance in Surfside Beach, SC
• Providers in Surfside Beach, SC by specialty
• Ambulance in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.