Organization Active NPI

Gulf County Association for Retarded Citizens, Inc.

  • Non-emergency Medical Transport (VAN)
  • Port St Joe, FL
National Provider Identifier
1770018731
Registry record updated Apr 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
GULF COUNTY ASSOCIATION FOR RETARDED CITIZENS, INC.
Practice address
122 Water Plant Road
Port St Joe, FL 32456
Phone
(850) 229-6550
Fax
(850) 227-2084
NPI assigned
Apr 27, 2017
Last updated
Apr 27, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2017

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

Authorized official

Name
Kathy Balentine
Title
Transportation Director
Phone
(850) 229-6550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

122 Water Plant Road
Port St Joe, FL 32456

Mailing address

PO Box 8
Port St Joe, FL 32457-0008
Phone (850) 229-6550

Other identifiers 1

IdentifierTypeStateIssuer
024386896MedicaidFL

National Provider Directory

National Provider Directory

Locations

122 Water Plant Rd
Port St Joe, FL 32456
Phone (850) 229-6550

NPI Registry JSON

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

{
    "created_epoch": "1493251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493251200000",
    "number": "1770018731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8",
            "city": "PORT ST JOE",
            "state": "FL",
            "postal_code": "324570008",
            "telephone_number": "850-229-6550",
            "fax_number": "850-227-2084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 WATER PLANT ROAD",
            "city": "PORT ST JOE",
            "state": "FL",
            "postal_code": "32456",
            "telephone_number": "850-229-6550",
            "fax_number": "850-227-2084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COUNTY ASSOCIATION FOR RETARDED CITIZENS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-27",
        "last_updated": "2017-04-27",
        "status": "A",
        "authorized_official_last_name": "BALENTINE",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "TRANSPORTATION DIRECTOR",
        "authorized_official_telephone_number": "850-229-6550"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024386896",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Joe, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.