County of Glades Office of Clerk Board County Commissioners

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

2776 Issued in FL

Legal business name

COUNTY OF GLADES OFFICE OF CLERK BOARD COUNTY COMMISSIONERS

Practice address

4889 E State Road 78
Moore Haven, FL 33471-6209

Phone

(863) 946-6020

Fax

(863) 946-1091

NPI assigned

Apr 29, 2008

Organization subpart

No

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

Authorized official

Name

Angela R. Snow

Title

Billing Clerk

Phone

(863) 946-6020

Specialties & licenses 1

Addresses

Other names 1

• Glades County EMS Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Tax ID family

County of Glades Office of Clerk Board County Commissioners2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Glades County Board of County Commissioners - EMS

  • Land Ambulance
  • Moore Haven, FL
  • NPI 1609064567
  NPD tax ID

Locations

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358899200000",
    "number": "1124293279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 481",
            "city": "MOORE HAVEN",
            "state": "FL",
            "postal_code": "334710481",
            "telephone_number": "863-946-6020",
            "fax_number": "863-946-1091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4889 E STATE ROAD 78",
            "city": "MOORE HAVEN",
            "state": "FL",
            "postal_code": "334716209",
            "telephone_number": "863-946-6020",
            "fax_number": "863-946-1091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF GLADES OFFICE OF CLERK BOARD COUNTY COMMISSIONERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2013-01-23",
        "status": "A",
        "authorized_official_last_name": "SNOW",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "BILLING CLERK",
        "authorized_official_telephone_number": "863-946-6020"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "FL",
            "license": "2776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glades County EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dorothy A Baker, PA
• Alberto Sylvester Blackwood, DDS
• Edward Clewell
• Salvatore M Colombo, DMD
• Kathryn R. Cornette, M.D.
• Etc Counseling LLC
• Florida Community Health Centers Inc
• Florida Community Health Services
• Florida Department of Health
• Florida Integrated Health Services

• All providers in Moore Haven, FL
• Land Ambulance in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2013; 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.