County of Walton Office of Sheriff

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

COUNTY OF WALTON OFFICE OF SHERIFF

Doing business as

Walton County Fire Rescue

Practice address

752 Triple G Rd
Defuniak Springs, FL 32433-5606

Phone

(850) 951-7306

Fax

(850) 331-6350

NPI assigned

Jun 13, 2017

Last updated

Jul 9, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tracey D Vause

Title

Fire Chief

Phone

(850) 892-6162

Specialties & licenses 1

Addresses

Other names 1

• Walton County Fire Rescue Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

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

{
    "created_epoch": "1497312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625788800000",
    "number": "1609306620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "752 TRIPLE G RD",
            "city": "DEFUNIAK SPRINGS",
            "state": "FL",
            "postal_code": "324335606",
            "telephone_number": "850-951-7306",
            "fax_number": "850-331-6350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "752 TRIPLE G RD",
            "city": "DEFUNIAK SPRINGS",
            "state": "FL",
            "postal_code": "324335606",
            "telephone_number": "850-951-7306",
            "fax_number": "850-331-6350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF WALTON OFFICE OF SHERIFF",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-13",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A",
        "authorized_official_last_name": "VAUSE",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "850-892-6162"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Walton County Fire Rescue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephanie Cook, BCBA
• Holly Nicole Coots
• Shelley Leeann Cotton
• Susan Gail Cottrell, DMD
• County of Walton Board of County Commissioners (Walton County Ambulance)
• Derrick Carl Crampton, PT
• Crestview Hospital Corporation (Gateway Medical Clinic - Defuniak Springs)
• Crestview Hospital Corporation (Gateway Medical Clinic DeFuniak)
• Gary S Crosson, DMD
• Jania Crutchfield

• Land Ambulance in Defuniak Springs, FL
• Providers in Defuniak Springs, FL by specialty
• Land Ambulance in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2021; 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.