Organization Active NPI

Columbia Emergency Services Inc

  • Land Ambulance
  • Lake City, FL
National Provider Identifier
1033968318
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
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

Updated by the provider on Nov 13, 2024

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20241011002775 FL Part B Supplier - Ambulance Service Supplier 5597297853 Practice locations: Lake City, FL

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.