Active NPI
Seminole County Board of County Commissioners
- Ambulance
- Sanford, FL
National Provider Identifier
1487750592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 3274
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 400046300 | Medicaid | FL | |
| 590012124 | Other | FL | RAILROAD MEDICARE |
Other names 1
- Seminole 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 |
|---|---|---|---|---|
| O20170517002173 | FL | Part B Supplier - Ambulance Service Supplier | 1153698428 | Practice locations: Sanford, FL |
National Provider Directory
National Provider DirectoryLocations
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
- Seminole Community Mental Health
- Seminole Community Mental Health Center
- Seminole Community Mental Health Center
- Seminole Community Mental Health Center, Inc.
- Seminole Community Mental Health Organization
- Seminole County Health Department Pharmacy
- Seminole County Mental Health Center, Inc.
- Seminole County Public Schools
- Seminole County Public Schools
- Seminole County Public Schools
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.