Board of County Commissioners Gulf County

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

BOARD OF COUNTY COMMISSIONERS GULF COUNTY

Doing business as

Gulf County EMS

Practice address

1000 Cecil G Costin Sr Blvd
Port St Joe, FL 32456-1653

Phone

(850) 229-6112

Fax

(850) 229-6174

NPI assigned

Sep 13, 2005

Last updated

Dec 31, 2015By 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

Rebecca L Norris

Title

Clerk of Court

Phone

(850) 229-6112

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Gulf County EMS Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Tax ID family

Gulf County Emergency S2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Gulf County Board of County Comm

  dba Wewa Ambulance Service

  • Ambulance
  • Wewa, FL
  • NPI 1144309758
  NPD tax ID

Locations

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451520000000",
    "number": "1679568943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 910",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720330910",
            "telephone_number": "850-229-8002",
            "fax_number": "850-227-3862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 CECIL G COSTIN SR BLVD",
            "city": "PORT ST JOE",
            "state": "FL",
            "postal_code": "324561653",
            "telephone_number": "850-229-6112",
            "fax_number": "850-229-6174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOARD OF COUNTY COMMISSIONERS GULF COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-13",
        "last_updated": "2015-12-31",
        "status": "A",
        "authorized_official_last_name": "NORRIS",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CLERK OF COURT",
        "authorized_official_telephone_number": "850-229-6112"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "FL",
            "license": "002429",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "400025101",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gulf County EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Beacon by the Bay LLC
• Beacon Villa Alf Operating LLC
• Brittany Jade Beauchamp, APRN
• Ellen Berkowitz, MD
• Rachel Marie Bixler, M.D.
• Alexandra Boulanger, RBT
• Brittny Brown, PHELCOTOMIST
• Tandra F Burns, BA
• William Rex Buzzett
• Candi Calderon, CPNP

• Land Ambulance in Port St Joe, FL
• Providers in Port St Joe, FL by specialty
• Land Ambulance in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2015; 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.