Organization Active NPI

County of Desoto Board County Commissioners

Doing business as DeSoto County Fire Rescue

  • Ambulance
  • Arcadia, FL
National Provider Identifier
1003896077
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
002495 Issued in FL
Legal business name
COUNTY OF DESOTO BOARD COUNTY COMMISSIONERS
Doing business as
DeSoto County Fire Rescue
Practice address
1985 SE Carlstrom Field Rd
Arcadia, FL 34266-7748
Phone
(863) 993-4842
Fax
(863) 993-4844
NPI assigned
Jan 18, 2006
Last updated
May 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Chad A Jorgensen
Title
Fire Chief
Phone
(863) 993-4842

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 002495 FL Primary

Addresses

Primary practice location

1985 SE Carlstrom Field Rd
Arcadia, FL 34266-7748

Mailing address

122 N Hillsborough Ave
Arcadia, FL 34266-4419
Phone (863) 993-4842

Other identifiers 3

IdentifierTypeStateIssuer
088100700MedicaidFL
089257100OtherFLBLACK LUNG
590005624OtherFLRAILROAD MEDICARE

Other names 1

  • DeSoto County Fire Rescue Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080512000662 FL Part B Supplier - Ambulance Service Supplier 1850472507 Practice locations: Arcadia, FL

National Provider Directory

National Provider Directory
Part of
Desoto County Fire Rescue

Locations

121 W Hickory St
#3
Arcadia, FL 34266
Phone (863) 491-5378

122 N Hillsborough Ave
Arcadia, FL 34266
Phone (863) 993-4842

1985 SE Carlstrom Field Rd
Arcadia, FL 34266
Phone (863) 993-4842

1985 SE Carlstrom Field Rd
#1
Arcadia, FL 34266
Phone (863) 993-4641

2200 NE Roan St
Arcadia, FL 34266
Phone (863) 993-4831

25 W Cypress St
#1
Arcadia, FL 34266
Phone (863) 993-4831

8789 SW County Road 761
#2
Arcadia, FL 34269
Phone (863) 491-5377

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778025600000",
    "number": "1003896077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 N HILLSBOROUGH AVE",
            "city": "ARCADIA",
            "state": "FL",
            "postal_code": "342664419",
            "telephone_number": "863-993-4842",
            "fax_number": "863-993-4844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1985 SE CARLSTROM FIELD RD",
            "city": "ARCADIA",
            "state": "FL",
            "postal_code": "342667748",
            "telephone_number": "863-993-4842",
            "fax_number": "863-993-4844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF DESOTO BOARD COUNTY COMMISSIONERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-18",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A",
        "authorized_official_last_name": "JORGENSEN",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "863-993-4842"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "FL",
            "license": "002495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "088100700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG",
            "identifier": "089257100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590005624",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DeSoto County Fire Rescue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arcadia, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.