Active NPI
Aloha Medical Services Inc
- Land Ambulance
- Wauchula, FL
National Provider Identifier
1457067100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- ALOHA MEDICAL SERVICES INC
- Practice address
- 402 S 6TH Ave
Wauchula, FL 33873-3209 - Phone
- (833) 772-5642
- NPI assigned
- Jan 26, 2023
- 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
- Craig Owen Daw
- Title
- Director of Operations
- Phone
- (863) 832-7930
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
402 S 6TH Ave
Wauchula, FL 33873-3209
Mailing address
PO Box 2207
Wauchula, FL 33873-6207
Phone (833) 772-5642
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230921000570 | FL | Part B Supplier - Ambulance Service Supplier | 6800240177 | Practice locations: Wauchula, 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 |
|---|---|---|---|
| 10D2293129 | Aloha Medical Services, Inc | Certificate of waiver | Nov 2, 2027 |
National Provider Directory
National Provider DirectoryLocations
402 S 6th Ave
Wauchula, FL 33873
Phone (833) 772-5642
105 W Summit St
Wauchula, FL 33873
Phone (863) 832-7930
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674691200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1701907200000",
"number": "1457067100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2207",
"city": "WAUCHULA",
"state": "FL",
"postal_code": "338736207",
"telephone_number": "833-772-5642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "402 S 6TH AVE",
"city": "WAUCHULA",
"state": "FL",
"postal_code": "338733209",
"telephone_number": "833-772-5642"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALOHA MEDICAL SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-26",
"last_updated": "2023-12-07",
"certification_date": "2023-12-07",
"status": "A",
"authorized_official_last_name": "DAW",
"authorized_official_first_name": "CRAIG",
"authorized_official_middle_name": "OWEN",
"authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
"authorized_official_telephone_number": "863-832-7930"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wauchula, FL
- Adventist Health System-Sunbelt Inc
- Adventist Health System-Sunbelt Inc
- Adventist Health System-Sunbelt Inc
- Adventist Health System-Sunbelt Inc
- Roberta L Alexander, R.N.
- Altman Chiropractic P.a.
- James Gregory Altman, D.C.
- Kenneth Andujar, DDS
- Anemone Emergency Physicians, LLC
- Arcadia Medical Associates, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; 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.