Active NPI
County of Indian River
- Ambulance
- Vero Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 3101
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 088224100 | Medicaid | FL |
Other names 1
- Indian River County Department of Emergency 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 |
|---|---|---|---|---|
| O20080805000608 | FL | Part B Supplier - Ambulance Service Supplier | 9830263151 | Practice locations: Fellsmere, FL; Vero Beach, FL; Sebastian, 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 |
|---|---|---|---|
| 10D1014600 | Indian River County Emergency Services | Certificate of waiver | Jul 9, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.