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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