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Organization
COUNTY OF PUTNAM BOARD OF COMMISSIONERS
Active
Organization
COUNTY OF PUTNAM BOARD OF COMMISSIONERS
Active
Other names
Putnam County Emergency Rescue Service
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL LANIER PATTERSON PARAMEDIC (FMS MANAGER / DEPUTY CHIEF)
(386) 329-0892
Entity
Organization
Contact information
Practice address
410 S STATE ROAD 19, PALATKA, FL 32177-3941
(386) 329-0240
(386) 326-2795
Mailing address
PO BOX 758, PALATKA, FL 32178-0758
(386) 329-0240
(386) 326-2795
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
002606
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0823376
UNITED MINE WORKERS
—
01
—
087914000
BLACK LUNG
—
05
—
088145700
—
FL
01
—
406590357
RAILROAD MEDICARE
—
01
—
A0374
BCBS OF FL
—
Enumeration date
11/04/2005
Last updated
01/08/2010
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