Provider Demographics
NPI:1285101717
Name:PALMETTO TRANSPORT SYSTEMS LLC
Entity type:Organization
Organization Name:PALMETTO TRANSPORT SYSTEMS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:
Authorized Official - Last Name:BOAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-479-2644
Mailing Address - Street 1:PO BOX 599
Mailing Address - Street 2:
Mailing Address - City:BENNETTSVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29512-0599
Mailing Address - Country:US
Mailing Address - Phone:843-479-2644
Mailing Address - Fax:843-479-8687
Practice Address - Street 1:207 BALL PARK ST
Practice Address - Street 2:
Practice Address - City:BENNETTSVILLE
Practice Address - State:SC
Practice Address - Zip Code:29512-3158
Practice Address - Country:US
Practice Address - Phone:888-858-9086
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-02
Last Update Date:2019-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport