Active NPI
Clay County Board of County Commissioners
- Ambulance
- Green Cove Springs, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 162909000 | Other | US DEPT OF LABOR W/C | |
| 0081031200 | Other | FEDERAL BLACK LUNG | |
| 088103100 | Medicaid | FL |
Other names 1
- Clay County Fire Rescue
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
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.