# LAKE ROBINSON RESCUE SQUAD

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

## Provider details

- **NPI number:** 1972595056
- **Authorized official:** MRS. BETTY W TANNER NREMTP (DIRECTOR)
- **Authorized official phone:** (843) 398-4443

## Contact information

- **Practice address:** 2364 W OLD CAMDEN RD, HARTSVILLE, SC 29550-9400
- **Practice address phone:** (843) 398-4443
- **Practice address fax:** (843) 398-4447
- **Mailing address:** 1008 HARTSVILLE AIRPORT RD, HARTSVILLE, SC 29550-8459
- **Mailing address phone:** (843) 398-4443
- **Mailing address fax:** (843) 398-4447

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 136 | SC | Yes |

## Other

- **Enumeration date:** 08/16/2005
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | AB0237 | — | SC |