Healthcare Provider Details

I. General information

NPI: 1487623203
Provider Name (Legal Business Name): AIKEN RESCUE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/15/2006
Last Update Date: 04/03/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

631 KERSHAW ST NE
AIKEN SC
29801
US

IV. Provider business mailing address

PO BOX 870
AIKEN SC
29802-0870
US

V. Phone/Fax

Practice location:
  • Phone: 803-649-9501
  • Fax: 803-226-0427
Mailing address:
  • Phone: 803-649-9501
  • Fax: 803-226-0427

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: LISA HINTZ
Title or Position: DIRECTOR
Credential:
Phone: 803-649-9501