NPIMap

Organization Active NPI

Polk County Board of County Commissioners

  • Ambulance
  • Bartow, FL
National Provider Identifier
1548296338
Registry record updated Nov 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
3081 Issued in FL
Legal business name
POLK COUNTY BOARD OF COUNTY COMMISSIONERS
Practice address
1295 Brice Blvd
Bartow, FL 33830-6735
Phone
(863) 519-7400
Fax
(863) 519-7496
NPI assigned
Jun 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2011

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

Authorized official

Name
Mr. David C Cash
Title
Fire Rescue Director
Phone
(863) 519-7400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 3081 FL Primary

Addresses

Primary practice location

1295 Brice Blvd
Bartow, FL 33830-6735

Mailing address

PO Box 917734
Orlando, FL 32891-0001
Phone (863) 519-7400

Other identifiers 1

IdentifierTypeStateIssuer
088015900MedicaidFL

Other names 1

  • Department of Public Safety Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120313000628 FL Part B Supplier - Ambulance Service Supplier 9234119355 Practice locations: Bartow, FL

National Provider Directory

National Provider Directory
Tax ID family
Polk County Board of County10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1295 Brice Blvd
Bartow, FL 33830
Phone (863) 519-7321

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321920000000",
    "number": "1548296338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 917734",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328910001",
            "telephone_number": "863-519-7400",
            "fax_number": "863-519-7496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1295 BRICE BLVD",
            "city": "BARTOW",
            "state": "FL",
            "postal_code": "338306735",
            "telephone_number": "863-519-7400",
            "fax_number": "863-519-7496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLK COUNTY BOARD OF COUNTY COMMISSIONERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-23",
        "last_updated": "2011-11-22",
        "status": "A",
        "authorized_official_last_name": "CASH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "FIRE RESCUE DIRECTOR",
        "authorized_official_telephone_number": "863-519-7400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "FL",
            "license": "3081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "088015900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Department of Public Safety",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bartow, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2011; 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.