Organization Active NPI

Courtesy Transport Services, LLC

  • Land Ambulance
  • Palatka, FL
National Provider Identifier
1376830521
Registry record updated Jul 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
BLS5403 Issued in FL
Legal business name
COURTESY TRANSPORT SERVICES, LLC
Practice address
6500 Crill Ave
Palatka, FL 32177-9230
Phone
(386) 336-9515
Fax
(888) 475-1300
NPI assigned
Jul 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2011

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

Authorized official

Name
Mrs. Melanie Burger
Title
Manager
Phone
(386) 336-9515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X BLS5403 FL Primary

Addresses

Primary practice location

6500 Crill Ave
Palatka, FL 32177-9230

Mailing address

1710 NE 40TH Ave
Ocala, FL 34470-5026
Phone (386) 336-9515

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120125000206 FL Part B Supplier - Ambulance Service Supplier 5890987614 Practice locations: Palatka, FL

National Provider Directory

National Provider Directory
Tax ID family
Courtesy Transport Services LLC2 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.

Locations

1306 S Palm Ave
Palatka, FL 32177
Phone (386) 336-9515

NPI Registry JSON

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

{
    "created_epoch": "1309996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309996800000",
    "number": "1376830521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 NE 40TH AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344705026",
            "telephone_number": "386-336-9515",
            "fax_number": "888-475-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 CRILL AVE",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321779230",
            "telephone_number": "386-336-9515",
            "fax_number": "888-475-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COURTESY TRANSPORT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-07",
        "last_updated": "2011-07-07",
        "status": "A",
        "authorized_official_last_name": "BURGER",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "386-336-9515",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "FL",
            "license": "BLS5403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palatka, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2011; 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.