Organization Active NPI

Seminole County Board of County Commissioners

  • Ambulance
  • Sanford, FL
National Provider Identifier
1487750592
Registry record updated Oct 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
3274 Issued in FL
Legal business name
SEMINOLE COUNTY BOARD OF COUNTY COMMISSIONERS
Practice address
150 Bush Blvd
Sanford, FL 32773-6706
Phone
(407) 665-5147
Fax
(407) 665-5010
NPI assigned
Sep 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ivan Mustafa
Title
EMS Chief
Phone
(407) 665-5147

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 3274 FL Primary

Addresses

Primary practice location

150 Bush Blvd
Sanford, FL 32773-6706

Mailing address

150 Bush Blvd
Sanford, FL 32773-6706
Phone (407) 665-5147

Other identifiers 2

IdentifierTypeStateIssuer
400046300MedicaidFL
590012124OtherFLRAILROAD MEDICARE

Other names 1

  • Seminole County Fire/Rescue Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170517002173 FL Part B Supplier - Ambulance Service Supplier 1153698428 Practice locations: Sanford, FL

National Provider Directory

National Provider Directory

Locations

150 Eslinger Way
Sanford, FL 32773
Phone (407) 665-5038

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318464000000",
    "number": "1487750592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 BUSH BLVD",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327736706",
            "telephone_number": "407-665-5147",
            "fax_number": "407-665-5010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 BUSH BLVD",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327736706",
            "telephone_number": "407-665-5147",
            "fax_number": "407-665-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEMINOLE COUNTY BOARD OF COUNTY COMMISSIONERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2011-10-13",
        "status": "A",
        "authorized_official_last_name": "MUSTAFA",
        "authorized_official_first_name": "IVAN",
        "authorized_official_title_or_position": "EMS CHIEF",
        "authorized_official_telephone_number": "407-665-5147"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "FL",
            "license": "3274",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "400046300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590012124",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seminole County Fire/Rescue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sanford, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2011; 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.

Verify at the official NPI Registry.