County of Hernando Board of County Commissioners

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

2502 Issued in FL

Legal business name

COUNTY OF HERNANDO BOARD OF COUNTY COMMISSIONERS

Practice address

60 Veterans Ave
Brooksville, FL 34601

Phone

(352) 540-4353

Fax

(352) 540-4355

NPI assigned

Jun 21, 2005

Organization subpart

No

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

Authorized official

Name

Mike Nickerson

Title

Chief

Phone

(352) 540-4353

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Hernando County Fire Rescue District Other name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Tax ID family

County of Hernando Board of County Commissioners2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• County of Hernando Board of County Commissioners

  • Land Ambulance
  • Spring Hill, FL
  • NPI 1306982962
  NPD tax ID

Locations

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616544000000",
    "number": "1326044793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15470 FLIGHT PATH DR",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346046823",
            "telephone_number": "352-540-4353",
            "fax_number": "352-540-4355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 VETERANS AVE",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "34601",
            "telephone_number": "352-540-4353",
            "fax_number": "352-540-4355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF HERNANDO BOARD OF COUNTY COMMISSIONERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-21",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A",
        "authorized_official_last_name": "NICKERSON",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "352-540-4353"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "FL",
            "license": "2502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "400076500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "159292100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER #",
            "identifier": "A0726",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hernando County Fire Rescue District",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Hernando County Fire Rescue District",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Zachary Corsell
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• Land Ambulance in Brooksville, FL
• Providers in Brooksville, 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 24, 2021; 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.