County of Madison Office Clerk Board County Commissioners
Organization Active NPI Land Ambulance · Madison, FL
NPI 1700865870 · NPPES record last updated Oct 20, 2020
Key facts
- NPI
- 1700865870
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- Legal business name
- COUNTY OF MADISON OFFICE CLERK BOARD COUNTY COMMISSIONERS
- Practice address
- 1314 W Base St
Madison, FL 32340-1416 - Phone
- (850) 973-1494
- Fax
- (850) 973-4157
- NPI assigned
- Jan 17, 2006
- Organization subpart
- No
Authorized official
- Name
- Charles A Clayton
- Title
- Fire Chief
- Phone
- (850) 464-7586
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120926000236 | FL | Part B Supplier - Ambulance Service Supplier | 2264681824 | Practice locations: Madison, FL |
National Provider Directory
Locations
1314 W Base St
Madison, FL 32340
Phone (850) 973-1494
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 002557 | FL | |
| Ambulance | 341600000X | |||
| Land Ambulance | 3416L0300X | Yes |
Addresses
Primary practice location
1314 W Base St
Madison, FL 32340-1416
Mailing address
PO Box 237
Madison, FL 32341-0237
Phone (850) 973-1494
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 088042600 | Medicaid | FL |
Other names
- Madison County Fire/Rescue
Other providers in Madison, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 20, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.