Provider Demographics
NPI:1326018490
Name:LEE COUNTY COUNCIL
Entity Type:Organization
Organization Name:LEE COUNTY COUNCIL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:DUBOSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-483-5000
Mailing Address - Street 1:PO BOX 927
Mailing Address - Street 2:
Mailing Address - City:BISHOPVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29010
Mailing Address - Country:US
Mailing Address - Phone:803-483-5000
Mailing Address - Fax:803-483-5001
Practice Address - Street 1:130 INDUSTRIAL BLVD
Practice Address - Street 2:
Practice Address - City:BISHOPVILLE
Practice Address - State:SC
Practice Address - Zip Code:29010-2037
Practice Address - Country:US
Practice Address - Phone:803-483-5000
Practice Address - Fax:803-483-5001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-23
Last Update Date:2015-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC121341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCP00005851OtherRAILROAD
SCAB0214Medicaid
SCQ330210001Medicare PIN