Active NPI
South Walton Fire District
- Land Ambulance
- Santa Rosa Beach, FL
National Provider Identifier
1427053420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 002419
- Legal business name
- SOUTH WALTON FIRE DISTRICT
- Practice address
- 911 CR 393 N
Santa Rosa Beach, FL 32459-1226 - Phone
- (850) 267-1298
- Fax
- (850) 267-3294
- NPI assigned
- Jun 16, 2005
- Last updated
- Aug 22, 2020
- 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
- Les Hallman
- Title
- Fire Chief
- Phone
- (850) 267-1298
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 002419 | FL | Primary |
Addresses
Primary practice location
911 CR 393 N
Santa Rosa Beach, FL 32459-1226
Mailing address
PO Box 1226
Santa Rosa Beach, FL 32459-1226
Phone (850) 267-1298
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A0736 | Other | FL | BLUE CROSS PROVIDER NUMBE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071009000244 | FL | Part B Supplier - Ambulance Service Supplier | 6608961446 | Practice locations: Santa Rosa Beach, FL |
National Provider Directory
National Provider DirectoryLocations
911 N County Highway 393
Santa Rsa Bch, FL 32459
Phone (850) 267-1298
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118880000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1427053420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1226",
"city": "SANTA ROSA BEACH",
"state": "FL",
"postal_code": "324591226",
"telephone_number": "850-267-1298",
"fax_number": "850-267-3294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "911 CR 393 N",
"city": "SANTA ROSA BEACH",
"state": "FL",
"postal_code": "324591226",
"telephone_number": "850-267-1298",
"fax_number": "850-267-3294"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH WALTON FIRE DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-16",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HALLMAN",
"authorized_official_first_name": "LES",
"authorized_official_title_or_position": "FIRE CHIEF",
"authorized_official_telephone_number": "850-267-1298"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "FL",
"license": "002419",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS PROVIDER NUMBE",
"identifier": "A0736",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Santa Rosa Beach, FL
- Tamra Snook, LCSW
- Sophrosyne Florida
- Soroka Starbuck PA Dba Family Chiropractic Center
- Brian Keith Soroka, D.C.
- South Walton Academy, Inc.
- South Walton Pharmacy LLC (Pharma Fusion)
- South Walton Physical Therapy and Rehabilitation, Inc
- South Walton Therapy Contracting LLC (South Walton Physical Therapy & Wellness)
- Southern Meridian Inc (Santa Rosa Pharmacy)
- Southern Radiology Specialists of Destin PLLC (Dolphin Diagnostic Imaging)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.