Organization Name: | TEGA CAY RESCUE SQUAD, INC |
NPI Number: | 1164467254 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | NORMAN W BALLMER (PRESIDENT) |
Mailing Address: | 5000 Tega Cay Dr Tega Cay |
State: | SC US |
Postal Code: | 297089363 |
Phone Number: | 8035482751 |
Fax Number: | |
NPI Enumeration Date: | 06/20/2006 |
NPI Last Update Date: | 04/18/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | 075 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |