Active NPI
Columbia Emergency Services Inc
- Land Ambulance
- Lake City, FL
National Provider Identifier
1033968318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- COLUMBIA EMERGENCY SERVICES INC
- Practice address
- 509 SW Bascom Norris Dr Unit 102
Lake City, FL 32025-1331 - Phone
- (386) 389-0888
- Fax
- (270) 744-8642
- NPI assigned
- May 17, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Toby Witt
- Title
- Authorized Official
- Phone
- (386) 389-0888
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
509 SW Bascom Norris Dr Unit 102
Lake City, FL 32025-1331
Mailing address
509 SW Bascom Norris Dr Unit 102
Lake City, FL 32025-1331
Phone (270) 727-0450
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241011002775 | FL | Part B Supplier - Ambulance Service Supplier | 5597297853 | Practice locations: Lake City, FL |
National Provider Directory
National Provider DirectoryLocations
509 SW Bascom Norris Dr
Unit 102
Lake City, FL 32025
Phone (386) 389-0888
176 NW Lake Jeffery Rd
Lake City, FL 32055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715904000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731456000000",
"number": "1033968318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "509 SW BASCOM NORRIS DR UNIT 102",
"city": "LAKE CITY",
"state": "FL",
"postal_code": "320251331",
"telephone_number": "270-727-0450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "509 SW BASCOM NORRIS DR UNIT 102",
"city": "LAKE CITY",
"state": "FL",
"postal_code": "320251331",
"telephone_number": "386-389-0888",
"fax_number": "270-744-8642"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COLUMBIA EMERGENCY SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-17",
"last_updated": "2024-11-13",
"certification_date": "2024-11-13",
"status": "A",
"authorized_official_last_name": "WITT",
"authorized_official_first_name": "TOBY",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "386-389-0888"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake City, FL
- Columbia County School District
- Columbia County Schools
- Columbia County Senior Services
- Columbia County Senior Services
- Columbia Emergency Group LLC
- Columbia Eye Associates PA
- Tracy Combee
- Come on Home to Rosa's Place, LLC
- Comfortable Care Dental Health Professionals, PA (Complete Dental of Lake City)
- Comfortcare Delight, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; 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.