Provider Demographics
NPI:1487623203
Name:AIKEN RESCUE, INC.
Entity type:Organization
Organization Name:AIKEN RESCUE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:HINTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-649-9501
Mailing Address - Street 1:PO BOX 870
Mailing Address - Street 2:
Mailing Address - City:AIKEN
Mailing Address - State:SC
Mailing Address - Zip Code:29802-0870
Mailing Address - Country:US
Mailing Address - Phone:803-649-9501
Mailing Address - Fax:803-226-0427
Practice Address - Street 1:631 KERSHAW ST NE
Practice Address - Street 2:
Practice Address - City:AIKEN
Practice Address - State:SC
Practice Address - Zip Code:29801
Practice Address - Country:US
Practice Address - Phone:803-649-9501
Practice Address - Fax:803-226-0427
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-15
Last Update Date:2014-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCAB0196Medicaid
SCQ325410001Medicare PIN
Q325410001Medicare PIN