# COUNTY OF PUTNAM BOARD OF COMMISSIONERS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Putnam County Emergency Rescue Service
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659362986
- **Authorized official:** MICHAEL LANIER PATTERSON PARAMEDIC (FMS MANAGER / DEPUTY CHIEF)
- **Authorized official phone:** (386) 329-0892

## Contact information

- **Practice address:** 410 S STATE ROAD 19, PALATKA, FL 32177-3941
- **Practice address phone:** (386) 329-0240
- **Practice address fax:** (386) 326-2795
- **Mailing address:** PO BOX 758, PALATKA, FL 32178-0758
- **Mailing address phone:** (386) 329-0240
- **Mailing address fax:** (386) 326-2795

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 002606 | FL | Yes |

## Other

- **Enumeration date:** 11/04/2005
- **Last updated:** 01/08/2010

## 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 | — |