Provider Demographics
NPI:1205887874
Name:COUNTY OF FLORENCE
Entity type:Organization
Organization Name:COUNTY OF FLORENCE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:S
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-665-3011
Mailing Address - Street 1:180 N IRBY ST
Mailing Address - Street 2:MSC-GG CITY-COUNTY COMPLEX
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29501-3456
Mailing Address - Country:US
Mailing Address - Phone:843-665-3011
Mailing Address - Fax:843-676-8795
Practice Address - Street 1:527 S CHURCH ST
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29506-3003
Practice Address - Country:US
Practice Address - Phone:843-665-3038
Practice Address - Fax:843-676-8719
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-16
Last Update Date:2013-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC0853416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport