Provider Demographics
NPI:1114172947
Name:AYNOR VOLUNTEER RESCUE SQUAD, INC.
Entity type:Organization
Organization Name:AYNOR VOLUNTEER RESCUE SQUAD, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:PARKER
Authorized Official - Suffix:
Authorized Official - Credentials:CHIEF
Authorized Official - Phone:843-358-8110
Mailing Address - Street 1:PO BOX 297
Mailing Address - Street 2:500 JAMIE ROAD
Mailing Address - City:AYNOR
Mailing Address - State:SC
Mailing Address - Zip Code:29511-0297
Mailing Address - Country:US
Mailing Address - Phone:843-358-8110
Mailing Address - Fax:843-488-6938
Practice Address - Street 1:500 JAMIE ROAD
Practice Address - Street 2:
Practice Address - City:AYNOR
Practice Address - State:SC
Practice Address - Zip Code:29511-0297
Practice Address - Country:US
Practice Address - Phone:843-358-8110
Practice Address - Fax:843-488-6938
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-20
Last Update Date:2008-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC001723416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport