Active NPI
County of Pinellas Board of County Commissioners
- Land Ambulance
- Largo, FL
National Provider Identifier
1679520571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 002468
- Legal business name
- COUNTY OF PINELLAS BOARD OF COUNTY COMMISSIONERS
- Practice address
- 12490 Ulmerton Rd
Largo, FL 33774-2700 - Phone
- (727) 582-2000
- Fax
- (727) 582-2021
- NPI assigned
- May 27, 2006
- 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
- Mr. Craig Hare, M.B.A.
- Title
- Director of EMS Administration
- Phone
- (727) 582-5752
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 002468 | FL | Primary |
Addresses
Primary practice location
12490 Ulmerton Rd
Largo, FL 33774-2700
Mailing address
12490 Ulmerton Rd
Largo, FL 33774-2700
Phone (727) 582-2000
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0069063 | Other | FL | AETNA |
| 087678000 | Medicaid | FL | |
| 0081-0000263 | Other | FL | UNITED HEALTH CARE |
| 62308 | Other | FL | CIGNA |
| 9598934 | Other | FL | GHI |
| 270850 | Other | FL | AVMED |
| 31251 | Other | FL | BLUE CROSS BLUE SHIELD |
| 230268 | Other | FL | HUMANA |
Other names 1
- Pinellas County Emergency Medical Services (d.b.a. Sunstar EMS)
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120522000991 | FL | Part B Supplier - Ambulance Service Supplier | 0941463301 | Practice locations: Largo, FL |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D0697558 | Pinellas County EMS | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- County of Pinellas Board of County Commissioners
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Public Health or Welfare Agency
- Clearwater, FL
- NPI 1871641613
Locations
12490 Ulmerton Rd
Largo, FL 33774
Phone (727) 582-2079
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1603929600000",
"number": "1679520571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12490 ULMERTON RD",
"city": "LARGO",
"state": "FL",
"postal_code": "337742700",
"telephone_number": "727-582-2000",
"fax_number": "727-582-2021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12490 ULMERTON RD",
"city": "LARGO",
"state": "FL",
"postal_code": "337742700",
"telephone_number": "727-582-2000",
"fax_number": "727-582-2021"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COUNTY OF PINELLAS BOARD OF COUNTY COMMISSIONERS",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-27",
"last_updated": "2020-10-29",
"certification_date": "2020-10-29",
"status": "A",
"authorized_official_last_name": "HARE",
"authorized_official_first_name": "CRAIG",
"authorized_official_title_or_position": "DIRECTOR OF EMS ADMINISTRATION",
"authorized_official_telephone_number": "727-582-5752",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "M.B.A."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "FL",
"license": "002468",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0069063",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "087678000",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "0081-0000263",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "62308",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "9598934",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVMED",
"identifier": "270850",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "31251",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "230268",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Pinellas County Emergency Medical Services (d.b.a. Sunstar EMS)",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Pinellas County Emergency Medical Services (d.b.a. Sunstar EMS)",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Largo, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.