Organization Active NPI

County of Volusia

  • Land Ambulance
  • Holly Hill, FL
National Provider Identifier
1487933248
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
ALS6407 Issued in FL
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

Updated by the provider on Aug 14, 2025

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)CodeLicenseStatePrimary
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 Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111118000507 FL Part B Supplier - Ambulance Service Supplier 1951585827 Practice locations: Holly Hill, 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
10D0894247County of Volusia, the112 Carswell Ave, Holly Hill, FL 32117Certificate of waiverNov 9, 2026

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.