Provider Demographics
NPI:1992369110
Name:MARLBORO COUNTY COUNCIL
Entity Type:Organization
Organization Name:MARLBORO COUNTY COUNCIL
Other - Org Name:MARLBORO COUNTY EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EMS DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:WATTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-479-5600
Mailing Address - Street 1:PO BOX 419
Mailing Address - Street 2:
Mailing Address - City:BENNETTSVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29512-0419
Mailing Address - Country:US
Mailing Address - Phone:843-479-5600
Mailing Address - Fax:
Practice Address - Street 1:205 E MARKET ST
Practice Address - Street 2:
Practice Address - City:BENNETTSVILLE
Practice Address - State:SC
Practice Address - Zip Code:29512-3128
Practice Address - Country:US
Practice Address - Phone:843-479-5600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-23
Last Update Date:2019-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport