COUNTY OF ST JOHNS BOARD OF COUNTY COMMISSIONERS NPI 1720071343

NPI Information

NPI: 1720071343
Provider Name: COUNTY OF ST JOHNS BOARD OF COUNTY COMMISSIONERS

Other Name: ST. JOHNS COUNTY FIRE RESCUE

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
3149 N PONCE DE LEON BLVD
SUITE 9
ST AUGUSTINE, FL
ZIP 32084
Phone: (904) 209-1700
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COUNTY OF ST JOHNS BOARD OF COUNTY COMMISSIONERS is a land transport ambulance in St Augustine, FL. COUNTY OF ST JOHNS BOARD OF COUNTY COMMISSIONERS NPI is 1720071343. The provider is registered as an organization entity type.
The provider Other Name Is St. Johns County Fire Rescue.

The provider's business location address is:

3149 N PONCE DE LEON BLVD
SUITE 9
ST AUGUSTINE, FL
ZIP 32084-601
Phone: (904) 209-1700
Fax: (904) 209-1706

The provider's authorized official is Jeff Prevatt .
The authorized official title is Assistant Fire Chief and has the following contact phone number (904) 209-1713.

The enumeration date for this NPI number is 8/30/2005 and was last updated on 5/16/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3416L0300X	Ambulance	Land Transport	2664	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	A0461	MEDICARE ID-TYPE UNSPECIFIED	FLORIDA	MEDICARE PROVIDER #
2	08948000	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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