Active NPI
County of Volusia
- Land Ambulance
- Holly Hill, FL
National Provider Identifier
1487933248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- ALS6407
- Legal business name
- COUNTY OF VOLUSIA
- Practice address
- 112 Carswell Ave
Holly Hill, FL 32117-5010 - Phone
- (386) 740-5201
- Fax
- (386) 254-1503
- NPI assigned
- Aug 11, 2011
- 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
- Mr. George Recktenwald
- Title
- County Manager
- Phone
- (386) 736-5920
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Air Ambulance | 3416A0800X | ALS6407 | FL | |
| Land Ambulance | 3416L0300X | ALS6407 | FL | Primary |
Addresses
Primary practice location
112 Carswell Ave
Holly Hill, FL 32117-5010
Mailing address
112 Carswell Ave
Holly Hill, FL 32117-5010
Phone (386) 252-4900
Other names 1
- Division of Emergency Medical Services, Division of Fire Services
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111118000507 | FL | Part B Supplier - Ambulance Service Supplier | 1951585827 | Practice locations: Holly Hill, 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 |
|---|---|---|---|
| 10D0894247 | County of Volusia, the | Certificate of waiver | Nov 9, 2026 |
National Provider Directory
National Provider DirectoryLocations
3825 Tiger Bay Rd
Daytona Beach, FL 32124
Phone (386) 740-5201
125 W New York Ave
Ste 182
Deland, FL 32720
Phone (386) 740-5201
112 Carswell Ave
Holly Hill, FL 32117
Phone (386) 252-4900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313020800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1755129600000",
"number": "1487933248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 CARSWELL AVE",
"city": "HOLLY HILL",
"state": "FL",
"postal_code": "321175010",
"telephone_number": "386-252-4900",
"fax_number": "386-252-4986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 CARSWELL AVE",
"city": "HOLLY HILL",
"state": "FL",
"postal_code": "321175010",
"telephone_number": "386-740-5201",
"fax_number": "386-254-1503"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COUNTY OF VOLUSIA",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-11",
"last_updated": "2025-08-14",
"certification_date": "2025-08-14",
"status": "A",
"authorized_official_last_name": "RECKTENWALD",
"authorized_official_first_name": "GEORGE",
"authorized_official_title_or_position": "COUNTY MANAGER",
"authorized_official_telephone_number": "386-736-5920",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3416A0800X",
"taxonomy_group": "",
"desc": "Ambulance, Air Transport",
"state": "FL",
"license": "ALS6407",
"primary": false
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "FL",
"license": "ALS6407",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Division of Emergency Medical Services, Division of Fire Services",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Division of Emergency Medical Services, Division of Fire Services",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Holly Hill, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; 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.