Organization Active NPI

Clay County Board of County Commissioners

  • Ambulance
  • Green Cove Springs, FL
National Provider Identifier
1548242571
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
CLAY COUNTY BOARD OF COUNTY COMMISSIONERS
Practice address
2519 State Road 16 W
Green Cove Springs, FL 32043-4819
Phone
(904) 529-5805
Fax
(904) 284-8015
NPI assigned
Nov 16, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Authorized official

Name
David Motes
Title
Ao
Phone
(904) 541-2778

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 341600000X FL
Ambulance 341600000X Primary

Addresses

Primary practice location

2519 State Road 16 W
Green Cove Springs, FL 32043-4819

Mailing address

PO Box 947668
Atlanta, GA 30394-7668
Phone (904) 529-3868

Other identifiers 3

IdentifierTypeStateIssuer
162909000OtherUS DEPT OF LABOR W/C
0081031200OtherFEDERAL BLACK LUNG
088103100MedicaidFL

Other names 1

  • Clay County Fire Rescue Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041020000190 FL Part B Supplier - Ambulance Service Supplier 0547221970 Practice locations: Starke, FL; Orange Park, FL; Middleburg, FL; Green Cove Springs, FL; Keystone Heights, FL; Fleming Island, FL

National Provider Directory

National Provider Directory

Locations

5995 Pine Ave
Fleming Island, FL 32003

1 Doctors Dr
Green Cove Springs, FL 32043

290 Branscomb Rd
Green Cove Springs, FL 32043

303 S Oakridge Ave
Green Cove Springs, FL 32043

2519 State Road 16 W
Green Cv Spgs, FL 32043
Phone (904) 529-5805

6837 County Road 315C
Keystone Heights, FL 32656

5283 County Road 218
Middleburg, FL 32068

4003 Everett Ave
Middleburg, FL 32068

4030 Ivory Xing
Orange Park, FL 32065

207 Blanding Blvd
Orange Park, FL 32073

3394 Peoria Rd
Orange Park, FL 32065

NPI Registry JSON

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772582400000",
    "number": "1548242571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 947668",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303947668",
            "telephone_number": "904-529-3868",
            "fax_number": "904-278-4749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2519 STATE ROAD 16 W",
            "city": "GREEN COVE SPRINGS",
            "state": "FL",
            "postal_code": "320434819",
            "telephone_number": "904-529-5805",
            "fax_number": "904-284-8015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAY COUNTY BOARD OF COUNTY COMMISSIONERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-16",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A",
        "authorized_official_last_name": "MOTES",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "AO",
        "authorized_official_telephone_number": "904-541-2778"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "FL",
            "license": "341600000X",
            "primary": false
        },
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR W/C",
            "identifier": "162909000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BLACK LUNG",
            "identifier": "0081031200",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "088103100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clay County Fire Rescue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Green Cove Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; 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.

Verify at the official NPI Registry.