County of Putnam Board of Commissioners

Primary specialty

AmbulanceTaxonomy code 341600000X

License

002606 Issued in FL

Legal business name

COUNTY OF PUTNAM BOARD OF COMMISSIONERS

Practice address

410 S State Road 19
Palatka, FL 32177-3941

Phone

(386) 329-0240

Fax

(386) 326-2795

NPI assigned

Nov 4, 2005

Organization subpart

No

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

Authorized official

Name

Michael Lanier Patterson, PARAMEDIC

Title

FMS Manager / Deputy Chief

Phone

(386) 329-0892

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Putnam County Emergency Rescue Service Other name

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": "1131062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262908800000",
    "number": "1659362986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 758",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321780758",
            "telephone_number": "386-329-0240",
            "fax_number": "386-326-2795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 S STATE ROAD 19",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321773941",
            "telephone_number": "386-329-0240",
            "fax_number": "386-326-2795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF PUTNAM BOARD OF COMMISSIONERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-04",
        "last_updated": "2010-01-08",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "LANIER",
        "authorized_official_title_or_position": "FMS MANAGER / DEPUTY CHIEF",
        "authorized_official_telephone_number": "386-329-0892",
        "authorized_official_credential": "PARAMEDIC"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "FL",
            "license": "002606",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FL",
            "identifier": "A0374",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "088145700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "406590357",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED MINE WORKERS",
            "identifier": "0823376",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG",
            "identifier": "087914000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Putnam County Emergency Rescue Service",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Julie Rene Collier, PT
• Community Roots Health LLC
• Concierge Medicine
• Amanda R. Cook, LMT
• Harkia Coring
• Courtesy Transport Services, LLC
• David Cary Cox, PA
• Jacqueline Erica Cox, MED/EDS
• Wendy Pauline Cox, ARNP, FNP-BC
• Brittany Ann Crane, PTA

• Ambulance in Palatka, FL
• Providers in Palatka, FL by specialty
• Ambulance in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2010; 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.