County of Gilchrist Board of Co Commissioners

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

3776 Issued in FL

Legal business name

COUNTY OF GILCHRIST BOARD OF CO COMMISSIONERS

Doing business as

Gilchrist County EMS

Practice address

3250 N US Highway 129
Bell, FL 32619-3319

Phone

(386) 935-5400

Fax

(386) 935-0294

NPI assigned

Jul 15, 2006

Last updated

Mar 30, 2015By 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

Mr. James M Harrell

Title

Chief

Phone

(386) 935-5400

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Gilchrist County EMS Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ryan Michael Clemons

  • Community Health Worker
  • Bell, FL
  • NPI 1053216168
  NPD (past)

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427673600000",
    "number": "1225054802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 N US HIGHWAY 129",
            "city": "BELL",
            "state": "FL",
            "postal_code": "326193319",
            "telephone_number": "386-935-5400",
            "fax_number": "386-935-0294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 N US HIGHWAY 129",
            "city": "BELL",
            "state": "FL",
            "postal_code": "326193319",
            "telephone_number": "386-935-5400",
            "fax_number": "386-935-0294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF GILCHRIST BOARD OF CO COMMISSIONERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2015-03-30",
        "status": "A",
        "authorized_official_last_name": "HARRELL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "386-935-5400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "FL",
            "license": "3776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "089871600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gilchrist County EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jody Lynne Arnstein, APRN
• Jennifer Barber, LMHC
• Troy Burbank, PA-C
• Tyler Phillip Burns
• Ryan Michael Clemons
• Laura Lee Cribbs, LMT
• Crystal Breeze Cullen, APRN
• Grace Dunn, M.D.
• Annaliese Paige Foster, LMHC
• Cassie J. Gross, ATC

• Land Ambulance in Bell, FL
• Providers in Bell, FL by specialty
• Land Ambulance in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2015; 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.