Organization Active NPI

Martin County Florida Board of Commissioners

  • Ambulance
  • Stuart, FL
National Provider Identifier
1255331187
Registry record updated Apr 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
001740 Issued in FL
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

Updated by the provider on Apr 3, 2013

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
590007709OtherFLMEDICARE METRAHEALTH
1006911OtherNCMEDICAID/NC
227254OtherPABC CAPITAL/778995
636574609AOtherGAGEORGIA MCD
QAB159OtherSCMEDICAID SC
083903500MedicaidFL
1006911OtherNCNORTH CAROLINA MCD
229946600OtherFLUS DEPARTMENT OF LABOR
7400743OtherCTCONNECTICARE

Other names 1

  • Martin County Fire Rescue Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090318000697 FL Part B Supplier - Ambulance Service Supplier 1850456088 Practice locations: Stuart, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0894690Martin County Fire Rescue800 SE Monterey Rd, Stuart, FL 34994Certificate of waiverNov 18, 2026

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.