Active NPI
Suwannee County Board of County Commissioners
Doing business as Suwannee County Fire Rescue
- Land Ambulance
- Live Oak, FL
National Provider Identifier
1427087717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 3603
- Legal business name
- SUWANNEE COUNTY BOARD OF COUNTY COMMISSIONERS
- Doing business as
- Suwannee County Fire Rescue
- Practice address
- 13530 80TH Terrace
Live Oak, FL 32060 - Phone
- (386) 364-3404
- Fax
- (386) 364-1256
- NPI assigned
- Jul 1, 2006
- Last updated
- Jun 5, 2018
- 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
- James E Sommers
- Title
- Public Safety Director
- Phone
- (386) 364-3404
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 3603 | FL | Primary |
Addresses
Primary practice location
13530 80TH Terrace
Live Oak, FL 32060
Mailing address
13530 80TH Terrace
Live Oak, FL 32060-8868
Phone (386) 364-3404
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 088085000 | Medicaid | FL |
Other names 1
- SUWANNEE COUNTY FIRE RESCUE
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130328000191 | FL | Part B Supplier - Ambulance Service Supplier | 2769627496 | Practice locations: Wellborn, FL; McAlpin, FL; Live Oak, FL; Branford, FL; Dowling Park, FL |
National Provider Directory
National Provider DirectoryLocations
13530 80th Ter
Live Oak, FL 32060
Phone (386) 364-3404
12211 County Road 137
Wellborn, FL 32094
Phone (386) 364-3404
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151712000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1528156800000",
"number": "1427087717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13530 80TH TERRACE",
"city": "LIVE OAK",
"state": "FL",
"postal_code": "320608868",
"telephone_number": "386-364-3404",
"fax_number": "386-364-1256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13530 80TH TERRACE",
"city": "LIVE OAK",
"state": "FL",
"postal_code": "32060",
"telephone_number": "386-364-3404",
"fax_number": "386-364-1256"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUWANNEE COUNTY BOARD OF COUNTY COMMISSIONERS",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-01",
"last_updated": "2018-06-05",
"status": "A",
"authorized_official_last_name": "SOMMERS",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PUBLIC SAFETY DIRECTOR",
"authorized_official_telephone_number": "386-364-3404"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "FL",
"license": "3603",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "088085000",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "SUWANNEE COUNTY FIRE RESCUE",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "SUWANNEE COUNTY FIRE RESCUE",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Live Oak, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2018; 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.