Organization
LIFELINE OF FAIRFIELD
Active
Other names
Fairfield county EMS
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE S. BROOM (OFFICE MANAGER)
(803) 633-2107
Entity
Organization
Contact information
Practice address
350 COLUMBIA RD, WINNSBORO, SC 29180
(803) 633-2107
(803) 635-6147
Mailing address
P O DRAWER 60, WINNSBORO, SC 29180-1732
(803) 633-2107
(803) 635-6147
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DE1346
—
SC
Enumeration date
06/28/2006
Last updated
08/22/2020
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