County of Walton Board of County Commissioners

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

3606 Issued in FL

Legal business name

COUNTY OF WALTON BOARD OF COUNTY COMMISSIONERS

Practice address

63 Bo Pete Manor Rd
Defuniak Springs, FL 32435-2943

Phone

(850) 892-6162

Fax

(850) 951-2911

NPI assigned

Jan 23, 2006

Organization subpart

No

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

Authorized official

Name

Bobby A Martin

Title

Interim Fire Chief

Phone

(850) 892-6162

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Walton County Ambulance Doing business as

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412121600000",
    "number": "1174593255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1460",
            "city": "DEFUNIAK SPRINGS",
            "state": "FL",
            "postal_code": "324357460",
            "telephone_number": "850-892-6162",
            "fax_number": "850-951-2911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 BO PETE MANOR RD",
            "city": "DEFUNIAK SPRINGS",
            "state": "FL",
            "postal_code": "324352943",
            "telephone_number": "850-892-6162",
            "fax_number": "850-951-2911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF WALTON BOARD OF COUNTY COMMISSIONERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-23",
        "last_updated": "2014-10-01",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "BOBBY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "INTERIM FIRE CHIEF",
        "authorized_official_telephone_number": "850-892-6162"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "FL",
            "license": "3606",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "088180500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Walton County Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Donna Pearl Comito, LMT
• Stephanie Cook, BCBA
• Holly Nicole Coots
• Shelley Leeann Cotton
• Susan Gail Cottrell, DMD
• County of Walton Office of Sheriff
• Derrick Carl Crampton, PT
• Crestview Hospital Corporation
• Crestview Hospital Corporation
• Gary S Crosson, DMD

• Land Ambulance in Defuniak Springs, FL
• Providers in Defuniak Springs, FL by specialty
• Land Ambulance in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.