MYRTLE BEACH RESCUE
NPI 1396794442
Ambulance in Myrtle Beach, SC

Active since May 08, 2006CLIA 42D2091339 · Waiver
3116 SHETLAND LN BLDG UNIT2425, MYRTLE BEACH, SC 29577(843) 457-0600 Get Directions Write a Review

NPPES record last updated: May 18, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Myrtle Beach Rescue NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MYRTLE BEACH RESCUE (NPI 1396794442) is a healthcare organization registered as an ambulance in Myrtle Beach, South Carolina and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through February 10, 2027 and lists Victoria Elizabeth Moshoures, Md/director, as its authorized official.

NPPES Registry Identity

NPI1396794442
Entity TypeOrganization
Primary Taxonomy341600000X
Legal Business NameVOLUNTEER RESCUE SQUAD OF MYRTLE BEACH INC
Location Address3116 SHETLAND LN BLDG UNIT2425Myrtle Beach, SC 29577
Mailing Address5005 Sunset BlvdLexington, SC 29072-9154 · (803) 957-7111 · Fax (803) 957-7115
Organization SubpartNo
Authorized OfficialVictoria Elizabeth MoshouresMd/director · (843) 267-3837
Enumeration DateMay 8, 2006
Last NPPES UpdateMay 18, 2018
NPI 1396794442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAmbulanceTransportation Services
Taxonomy Code341600000X
License Licensed in SC · 158
Definition
An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane).
3116 SHETLAND LN BLDG UNIT2425, Myrtle Beach, SC 29577

Other Names 1

Doing Business AsMyrtle Beach Rescue

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 42D2091339

Myrtle Beach Rescue Squad · Myrtle Beach, SC
Active · expires Feb 10, 2027
CLIA Number42D2091339
Laboratory TypeAmbulance
Certificate Effective DateFebruary 11, 2025
Certificate Expiration DateFebruary 10, 2027
Laboratory DirectorEverette Elmore
Laboratory Phone(843) 626-7352
Laboratory LocationMyrtle Beach Rescue Squad3116 Shetland Lane Suite 24 And 25, Myrtle Beach, SC 29577
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Volunteer Rescue Squad Of Myrtle Beach Inc's NPI number?

The NPI number for Volunteer Rescue Squad Of Myrtle Beach Inc is 1396794442. It was assigned to this organization in the NPPES registry on May 8, 2006. The provider is doing business as Myrtle Beach Rescue.

Where is Volunteer Rescue Squad Of Myrtle Beach Inc located?

Volunteer Rescue Squad Of Myrtle Beach Inc is located at 3116 Shetland Ln Bldg Unit2425, Myrtle Beach, SC 29577. The listed phone number is (843) 457-0600.

What is Volunteer Rescue Squad Of Myrtle Beach Inc's specialty?

The primary specialty registered for this NPI is Ambulance with taxonomy code 341600000X.

Does Volunteer Rescue Squad Of Myrtle Beach Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2091339) is associated with this NPI, valid through February 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Volunteer Rescue Squad Of Myrtle Beach Inc was last updated on May 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.