# HORRY COUNTY RESCUE SQUAD

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

## Provider details

- **NPI number:** 1124406319
- **Authorized official:** TEVIN C RENSHAW (ASST CHIEF)
- **Authorized official phone:** (843) 902-1876

## Contact information

- **Practice address:** 4302 MEETING ST, LORIS, SC 29569-2438
- **Practice address phone:** (843) 902-1876
- **Mailing address:** PO BOX 133, CONWAY, SC 29528-0133
- **Mailing address phone:** (843) 902-1876

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 174 | SC | Yes |

## Other

- **Enumeration date:** 05/08/2015
- **Last updated:** 05/08/2015