Active NPI
Martin County Florida Board of Commissioners
- Ambulance
- Stuart, FL
National Provider Identifier
1255331187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 001740
- Legal business name
- MARTIN COUNTY FLORIDA BOARD OF COMMISSIONERS
- Practice address
- 800 SE Monterey Rd
Stuart, FL 34994-4507 - Phone
- (772) 288-5710
- Fax
- (772) 288-5942
- NPI assigned
- Jul 21, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Lynn Moore
- Title
- EMS Billing Manager
- Phone
- (772) 463-6277
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 001740 | FL | Primary |
Addresses
Primary practice location
800 SE Monterey Rd
Stuart, FL 34994-4507
Mailing address
3485 SE Willoughby Blvd
Stuart, FL 34994-5060
Phone (772) 463-7277
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 590007709 | Other | FL | MEDICARE METRAHEALTH |
| 1006911 | Other | NC | MEDICAID/NC |
| 227254 | Other | PA | BC CAPITAL/778995 |
| 636574609A | Other | GA | GEORGIA MCD |
| QAB159 | Other | SC | MEDICAID SC |
| 083903500 | Medicaid | FL | |
| 1006911 | Other | NC | NORTH CAROLINA MCD |
| 229946600 | Other | FL | US DEPARTMENT OF LABOR |
| 7400743 | Other | CT | CONNECTICARE |
Other names 1
- Martin County Fire Rescue
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090318000697 | FL | Part B Supplier - Ambulance Service Supplier | 1850456088 | Practice locations: Stuart, FL |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D0894690 | Martin County Fire Rescue | Certificate of waiver | Nov 18, 2026 |
National Provider Directory
National Provider DirectoryLocations
3485 SE Willoughby Blvd
Stuart, FL 34994
2401 SE Monterey Rd
Stuart, FL 34996
Phone (412) 650-9034
800 SE Monterey Rd
Stuart, FL 34994
Phone (772) 221-1490
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121904000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1364947200000",
"number": "1255331187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3485 SE WILLOUGHBY BLVD",
"city": "STUART",
"state": "FL",
"postal_code": "349945060",
"telephone_number": "772-463-7277",
"fax_number": "772-419-4544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 SE MONTEREY RD",
"city": "STUART",
"state": "FL",
"postal_code": "349944507",
"telephone_number": "772-288-5710",
"fax_number": "772-288-5942"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARTIN COUNTY FLORIDA BOARD OF COMMISSIONERS",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-21",
"last_updated": "2013-04-03",
"status": "A",
"authorized_official_last_name": "MOORE",
"authorized_official_first_name": "LYNN",
"authorized_official_title_or_position": "EMS BILLING MANAGER",
"authorized_official_telephone_number": "772-463-6277",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "FL",
"license": "001740",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE METRAHEALTH",
"identifier": "590007709",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID/NC",
"identifier": "1006911",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC CAPITAL/778995",
"identifier": "227254",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEORGIA MCD",
"identifier": "636574609A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID SC",
"identifier": "QAB159",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "083903500",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NORTH CAROLINA MCD",
"identifier": "1006911",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US DEPARTMENT OF LABOR",
"identifier": "229946600",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "7400743",
"state": "CT"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Martin County Fire Rescue",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Stuart, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.