Active NPI
Courtesy Transport Services, LLC
- Land Ambulance
- Palatka, FL
National Provider Identifier
1376830521
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- BLS5403
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Non-emergency Medical Transport (VAN)
- Ocala, FL
- NPI 1619288248
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.