MYRTLE BEACH RESCUE
NPI 1396794442
Ambulance in Myrtle Beach, SC

NPI Status: Active since May 08, 2006

Contact Information

3116 SHETLAND LN BLDG UNIT2425
MYRTLE BEACH, SC
ZIP 29577
Phone: (843) 457-0600

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  • Organization
  • Ambulance
  • CLIA Number: 42D2091339
  • CLIA Cert. Type: Ambulance
  • CLIA Exp. Date: 02-10-2027

About MYRTLE BEACH RESCUE

This page provides the complete NPI Profile along with additional information for Myrtle Beach Rescue, a provider established in Myrtle Beach, South Carolina operating as a Ambulance. The healthcare provider is registered in the NPI registry with number 1396794442 assigned on May 2006. The practitioner's primary taxonomy code is 341600000X with license number 158 (SC). The provider is registered as an organization and their NPI record was last updated 8 years ago. The provider's is doing business as Myrtle Beach Rescue. The authorized official of this NPI record is Victoria Elizabeth Moshoures Md (Md/director)

NPI
1396794442
Provider Legal Name
VOLUNTEER RESCUE SQUAD OF MYRTLE BEACH INC
Other Organization Name
MYRTLE BEACH RESCUE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3116 SHETLAND LN BLDG UNIT2425 MYRTLE BEACH, SC 29577
Location Phone
(843) 457-0600
Mailing Address
5005 SUNSET BLVD LEXINGTON, SC 29072
Mailing Phone
(803) 957-7111
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-08-2006
Last Update Date
05-18-2018
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Ambulance

Taxonomy Code
341600000X
Type
Transportation Services
License No.
158
License State
SC
Taxonomy Description
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).

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

VICTORIA ELIZABETH MOSHOURES MD

Authorized Official Title
MD/DIRECTOR
Authorized Official Phone
(843) 267-3837

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
42D2091339
Facility Type
Ambulance
Certificate Effective Date
February 11, 2025
Certificate Expiration Date
February 10, 2027
Laboratory Director
EVERETTE ELMORE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Myrtle Beach Rescue to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1396794442, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 78. The final step is to find the difference between that total and the next multiple of ten (80 - 78 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
6
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
9
Unchanged
Pos 7
4
Doubled → 8
Pos 8
4
Unchanged
Pos 9
4
Doubled → 8
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 7 → 14 → 5 4 → 8 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 1 + 8 + 6 + 1 + 4 + 9 + 8 + 4 + 8 + 24 = 78

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 78 is 80. The difference is the calculated check digit.

80 - 78 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1396794442.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396794442, enumerated as an "organization" on May 08, 2006.

The provider is located at 3116 SHETLAND LN BLDG UNIT2425 MYRTLE BEACH, SC 29577 and the phone number is (843) 457-0600.

Ambulance with taxonomy code 341600000X.