Organization Active NPI

Aloha Medical Services Inc

  • Land Ambulance
  • Wauchula, FL
National Provider Identifier
1457067100
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
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

Updated by the provider on Dec 7, 2023

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20230921000570 FL Part B Supplier - Ambulance Service Supplier 6800240177 Practice locations: Wauchula, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2293129Aloha Medical Services, Inc402 S 6TH Ave, Wauchula, FL 33873Certificate of waiverNov 2, 2027

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.