Organization Active NPI

County of Indian River

  • Ambulance
  • Vero Beach, FL
National Provider Identifier
1497856033
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
3101 Issued in FL
Legal business name
COUNTY OF INDIAN RIVER
Practice address
4225 43Rd Ave
Vero Beach, FL 32967-1671
Phone
(772) 226-3900
Fax
(772) 770-5147
NPI assigned
Sep 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2022

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

Authorized official

Name
Joseph D Johnson
Title
Director
Phone
(772) 226-3947

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 3101 FL Primary

Addresses

Primary practice location

4225 43Rd Ave
Vero Beach, FL 32967-1671

Mailing address

PO Box 850001 Dept 0669
Orlando, FL 32885-0001
Phone (772) 226-3900

Other identifiers 1

IdentifierTypeStateIssuer
088224100MedicaidFL

Other names 1

  • Indian River County Department of Emergency Services Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080805000608 FL Part B Supplier - Ambulance Service Supplier 9830263151 Practice locations: Fellsmere, FL; Vero Beach, FL; Sebastian, 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
10D1014600Indian River County Emergency Services4225 43Rd Ave, Vero Beach, FL 32967Certificate of waiverJul 9, 2027

National Provider Directory

National Provider Directory

Locations

62 N Broadway St
Fellsmere, FL 32948
Phone (772) 571-2303

4225 43rd Ave
Vero Beach, FL 32967
Phone (772) 226-3900

1891 90th Ave
Vero Beach, FL 32966
Phone (772) 770-5321

1500 Old Dixie Hwy
Vero Beach, FL 32960
Phone (772) 226-3257

1801 27th St
Vero Beach, FL 32960
Phone (772) 567-8000

2900 43rd Ave
Vero Beach, FL 32960
Phone (772) 770-5316

3301 Bridge Plaza Dr
Vero Beach, FL 32963
Phone (772) 492-2402

3620 49th St
Vero Beach, FL 32967
Phone (772) 770-5322

1310 37th St
Vero Beach, FL 32960
Phone (772) 569-5107

1500 9th St SW
Vero Beach, FL 32962
Phone (772) 770-5317

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662940800000",
    "number": "1497856033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 850001 DEPT 0669",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328850001",
            "telephone_number": "772-226-3900",
            "fax_number": "772-226-3868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4225 43RD AVE",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329671671",
            "telephone_number": "772-226-3900",
            "fax_number": "772-770-5147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF INDIAN RIVER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "772-226-3947"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "FL",
            "license": "3101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "088224100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Indian River County Department of Emergency Services",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Indian River County Department of Emergency Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; 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.