Provider Demographics
NPI:1306186457
Name:PALMETTO RURAL FIRE DEPARTMENT
Entity Type:Organization
Organization Name:PALMETTO RURAL FIRE DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:E
Authorized Official - Last Name:SPIVEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-393-0996
Mailing Address - Street 1:1304 E MCIVER RD
Mailing Address - Street 2:
Mailing Address - City:DARLINGTON
Mailing Address - State:SC
Mailing Address - Zip Code:29532-8106
Mailing Address - Country:US
Mailing Address - Phone:843-393-0996
Mailing Address - Fax:843-393-0209
Practice Address - Street 1:1304 E MCIVER RD
Practice Address - Street 2:
Practice Address - City:DARLINGTON
Practice Address - State:SC
Practice Address - Zip Code:29532-8106
Practice Address - Country:US
Practice Address - Phone:843-393-0996
Practice Address - Fax:843-393-0209
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-27
Last Update Date:2013-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC327013416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC32701Medicaid