# TIMMONSVILLE RESCUE SQUAD

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

## Provider details

- **NPI number:** 1588605299
- **Authorized official:** MR. DONALD E WINDHAM (CHIEF)
- **Authorized official phone:** (843) 346-7640

## Contact information

- **Practice address:** 401 E MAIN ST, TIMMONSVILLE, SC 29161-1831
- **Practice address phone:** (843) 346-7640
- **Practice address fax:** (843) 346-7654
- **Mailing address:** 401 E MAIN ST, PO BOX 9, TIMMONSVILLE, SC 29161-1831
- **Mailing address phone:** (843) 346-7640
- **Mailing address fax:** (843) 346-7654

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 0097 | SC | Yes |

## Other

- **Enumeration date:** 06/10/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | ABO175 | — | SC |