Organization
COUNTY OF COLLETON
Active
Other names
Colleton County Fire Rescue
Organization subpart
No
Provider details
NPI number
Authorized official
SHEILA COCHRAN (OFFICE MANAGER)
(843) 539-1960
Entity
Organization
Contact information
Practice address
113 MABEL T WILLIS BLVD, WALTERBORO, SC 29488-4522
(843) 539-1960
(843) 539-1963
Mailing address
PO BOX 41205, CHARLESTON, SC 29423-8068
(843) 539-1960
(843) 539-1963
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
115
SC
3416L0300X
Land Ambulance
115
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
407590170
RAILROAD MEDICARE
SC
05
—
502511
—
SC
Enumeration date
09/15/2006
Last updated
07/29/2014
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