# ALLENDALE COUNTY RESCUE SQUAD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083693832
- **Authorized official:** MR. JOHN MARSHALL LAWSON III PARAMEDIC DIRECTOR (DIRECTOR CAPTAIN)
- **Authorized official phone:** (803) 584-4900

## Contact information

- **Practice address:** 606 HICKORY ST, ALLENDALE, SC 29810
- **Practice address phone:** (803) 584-4900
- **Practice address fax:** (803) 584-0400
- **Mailing address:** PO BOX 1245, WALTERBORO, SC 29488
- **Mailing address phone:** (843) 549-3444
- **Mailing address fax:** (843) 549-3474

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | — | NULL | Yes |

## Other

- **Enumeration date:** 01/11/2006
- **Last updated:** 11/30/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 502076 | — | SC |