Healthcare Provider Details

I. General information

NPI: 1790936235
Provider Name (Legal Business Name): MURRELLS INLET GARDEN CITY FIRE DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2008
Last Update Date: 10/02/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3641 HIGHWAY17 BUSINESS
MURRELLS INLET SC
29576
US

IV. Provider business mailing address

PO BOX 642
MURRELLS INLET SC
29576
US

V. Phone/Fax

Practice location:
  • Phone: 843-651-5143
  • Fax: 843-651-1101
Mailing address:
  • Phone: 843-651-5143
  • Fax: 843-651-1101

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number151
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number151
License Number StateSC

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MR. NORMAN L KNIGHT JR.
Title or Position: FIRE CHIEF
Credential:
Phone: 843-651-5143