Active NPI
Charlotte County Fire EMS
- Ambulance
- Punta Gorda, FL
National Provider Identifier
1407962095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- CHARLOTTE COUNTY FIRE EMS
- Practice address
- 26571 Airport Rd
Punta Gorda, FL 33982-2414 - Phone
- (941) 833-5613
- Fax
- (941) 833-5630
- NPI assigned
- Aug 23, 2006
- Last updated
- Mar 20, 2012
- Organization subpart
- Yes
- Parent organization
- CHARLOTTE COUNTY BOARD OF COUNTY COMISSIONERS
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Theresa R Parson
- Title
- Sr EMS Insurance Specialist
- Phone
- (941) 833-5613
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | Primary |
Addresses
Primary practice location
26571 Airport Rd
Punta Gorda, FL 33982-2414
Mailing address
PO Box 409335
Atlanta, GA 30384
Phone (305) 459-0664
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 089925900 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110812000332 | FL | Part B Supplier - Ambulance Service Supplier | 4981873700 | Practice locations: Punta Gorda, 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 |
|---|---|---|---|
| 10D0894743 | Charlotte County Fire & EMS | Certificate of waiver | Nov 20, 2026 |
National Provider Directory
National Provider Directory- Part of
- Charlotte County EMS
Locations
22429 Edgewater Dr
Punta Gorda, FL 33980
Phone (941) 833-5613
26571 Airport Rd
Punta Gorda, FL 33982
Phone (941) 833-5600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1332201600000",
"number": "1407962095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 409335",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30384",
"telephone_number": "305-459-0664",
"fax_number": "305-421-0928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26571 AIRPORT RD",
"city": "PUNTA GORDA",
"state": "FL",
"postal_code": "339822414",
"telephone_number": "941-833-5613",
"fax_number": "941-833-5630"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHARLOTTE COUNTY FIRE EMS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CHARLOTTE COUNTY BOARD OF COUNTY COMISSIONERS",
"enumeration_date": "2006-08-23",
"last_updated": "2012-03-20",
"status": "A",
"authorized_official_last_name": "PARSON",
"authorized_official_first_name": "THERESA",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "SR EMS INSURANCE SPECIALIST",
"authorized_official_telephone_number": "941-833-5613"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "089925900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Punta Gorda, FL
- Leslie Chandler
- Charlene Q Okonski DO PA
- Charlotte Behavioral Health Care Inc
- Charlotte Behavioral Healthcare
- Charlotte County Board of County Commissioners
- Charlotte County Foot and Ankle
- Charlotte County Head Start
- Charlotte Workers Comp Injury Center Inc
- Isbel Chavez Rodriguez
- Patrick Cherbaka, DMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2012; 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.