1. Home
  2. Directory
  3. South Carolina
  4. North Myrtle Beach
  5. Ambulance
  6. NPI Profile

NORTH MYRTLE BEACH RESCUE SQUAD
NPI 1801047402
Ambulance in North Myrtle Beach, SC

Active since October 01, 2008CLIA 42D0705383 · Waiver
1002 6TH AVE S, NORTH MYRTLE BEACH, SC 29582(843) 272-3144 Get Directions Write a Review

NPPES record last updated: October 1, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About North Myrtle Beach Rescue Squad NPPES

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

NORTH MYRTLE BEACH RESCUE SQUAD (NPI 1801047402) is a healthcare organization registered as an ambulance in North Myrtle Beach, South Carolina and active in the NPI registry since October 2008. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Kip Mitchell, Captain, as its authorized official.

NPPES Registry Identity

NPI1801047402
Entity TypeOrganization
Primary Taxonomy341600000X
Legal Business NameNORTH MYRTLE BEACH RESCUE SQUAD
Location Address1002 6TH AVE SNorth Myrtle Beach, SC 29582-3318
Mailing AddressPo Box 555North Myrtle Beach, SC 29597-0555 · (843) 272-3144
Phone(843) 272-3144
Organization SubpartNo
Authorized OfficialKip MitchellCaptain · (843) 272-3144
Enumeration DateOctober 1, 2008
✔ NPI 1801047402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulanceTransportation Services
Taxonomy Code341600000X
License✔ Licensed in SC · 067
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).
1002 6TH AVE S, North Myrtle Beach, SC 29582
Open in Google Maps ↗

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 42D0705383

North Myrtle Beach Rescue · North Myrtle Beach, SC
Active · expires Aug 31, 2026
CLIA Number42D0705383
Laboratory TypeOther
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDeanae Leughridge
Laboratory Phone(843) 272-3144
Laboratory LocationNorth Myrtle Beach Rescue1002 6th Ave South, North Myrtle Beach, SC 29582
CLIA data matches this NPI record on: Address Name Phone
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 North Myrtle Beach Rescue Squad's NPI number?

The NPI number for North Myrtle Beach Rescue Squad is 1801047402. It was assigned to this organization in the NPPES registry on October 1, 2008.

Where is North Myrtle Beach Rescue Squad located?

North Myrtle Beach Rescue Squad is located at 1002 6th Ave S, North Myrtle Beach, SC 29582. The listed phone number is (843) 272-3144.

What is North Myrtle Beach Rescue Squad's specialty?

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

Does North Myrtle Beach Rescue Squad hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D0705383) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for North Myrtle Beach Rescue Squad was last updated on October 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.