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NPI Code Detail

MEDICARE: LANDRUM RESCUE SQUAD

MEDICARE: LANDRUM RESCUE SQUAD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1341600000XAmbulance084SC

General Provider Information

NPI Number : 1881687150
Entity Type Code : Organization
Provider Name (Legal Business Name) : LANDRUM RESCUE SQUAD
Provider Business Mailing Address
First Line : 300 W COLEMAN ST
Second Line :
City : LANDRUM
State : SC
Zip : 29356-1533
Country : US
Telephone Number : 864-457-4477
Fax Number :
Provider Business Practice Location Address
First Line : 5005 SUNSET BLVD
Second Line :
City : LEXINGTON
State : SC
Zip : 29072-9154
Country : US
Telephone Number : 803-957-7111
Fax Number : 803-957-7115
Authorized Official
Title or Position : CAPTAIN
Name : LARRY B COGDELL
Credential :
Telephone Number : 864-457-4477
Provider Enumeration Date : 08/23/2005
Last Update Date : 08/22/2020

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Directions to “LANDRUM RESCUE SQUAD ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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