Organization
FORK RESCUE SQUAD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMMY BUCHANAN (CHAIRMAN OF THE BOARD OF DIRECTOR)
(864) 287-4882
Entity
Organization
Contact information
Practice address
8513 HIGHWAY 24, TOWNVILLE, SC 29689
(864) 287-4882
(864) 287-4889
Mailing address
PO BOX 126, TOWNVILLE, SC 29689
(864) 287-4882
(864) 287-4889
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
061
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AB0116
—
SC
Enumeration date
07/23/2006
Last updated
08/22/2020
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