Active NPI
Gulf County Association for Retarded Citizens, Inc.
- Non-emergency Medical Transport (VAN)
- Port St Joe, FL
National Provider Identifier
1770018731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- 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, 2017
- 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
- Kathy Balentine
- Title
- Transportation Director
- Phone
- (850) 229-6550
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 024386896 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
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.