| Organization Name: | WILLISTON RESCUE SQUAD |
| NPI Number: | 1023062544 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GENE A. WILLIAMS (DIRECTOR) |
| Mailing Address: | 80 Rescue Squad Blvd Williston |
| State: | SC US |
| Postal Code: | 298532304 |
| Phone Number: | 8032667019 |
| Fax Number: | 8032667701 |
| NPI Enumeration Date: | 05/20/2006 |
| NPI Last Update Date: | 04/09/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 009 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |