Board of County Commissioners of Nassau County

Primary specialty

AmbulanceTaxonomy code 341600000X

License

3712 Issued in FL

Legal business name

BOARD OF COUNTY COMMISSIONERS OF NASSAU COUNTY

Doing business as

Nassau County Board of County Commissioners

Practice address

96160 Nassau PL Ste 1
Yulee, FL 32097-8626

Phone

(904) 530-6600

Fax

(904) 321-5748

NPI assigned

Jul 26, 2005

Last updated

Oct 2, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Taco Pope

Title

County Manager

Phone

(904) 530-6010

Specialties & licenses 2

Addresses

Other identifiers 5

Other names 1

• Nassau County Board of County Commissioners Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696204800000",
    "number": "1164422747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96135 NASSAU PL STE 2",
            "city": "YULEE",
            "state": "FL",
            "postal_code": "320978635",
            "telephone_number": "904-530-6030",
            "fax_number": "904-530-6903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96160 NASSAU PL STE 1",
            "city": "YULEE",
            "state": "FL",
            "postal_code": "320978626",
            "telephone_number": "904-530-6600",
            "fax_number": "904-321-5748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOARD OF COUNTY COMMISSIONERS OF NASSAU COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-26",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A",
        "authorized_official_last_name": "POPE",
        "authorized_official_first_name": "TACO",
        "authorized_official_title_or_position": "COUNTY MANAGER",
        "authorized_official_telephone_number": "904-530-6010"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "FL",
            "license": "3712",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "406590904",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "N413568",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GEORGIA",
            "identifier": "000674858A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "088086800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "159897600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nassau County Board of County Commissioners",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ambulance in Yulee, FL
• Providers in Yulee, FL by specialty
• Ambulance in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; 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.