Fountain Support Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

FOUNTAIN SUPPORT SERVICES

Practice address

7957 Perth Ave
Pensacola, FL 32534-4056

Phone

(850) 477-3171

NPI assigned

Dec 22, 2007

Organization subpart

No

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

Authorized official

Name

Ordieres Fountain

Title

Director

Phone

(850) 477-3171

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1198281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198281600000",
    "number": "1780868067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7957 PERTH AVE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325344056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7957 PERTH AVE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325344056",
            "telephone_number": "850-477-3171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNTAIN SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-22",
        "last_updated": "2007-12-22",
        "status": "A",
        "authorized_official_last_name": "FOUNTAIN",
        "authorized_official_first_name": "ORDIERES",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "850-477-3171"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica J Foster
• Jason D Foster, AS5826
• Kristin Elaine Foster, NURSE PRACTITIONER
• Paul Denton Foster
• Talia Elizabeth Foster, LAC
• Mari Fountain
• Sirvalier J Fountain
• Lisa Angela Fournier, PHARM D
• Fourroux Prosthetics, Inc.
• Abby Fowler, PA

• Community/Behavioral Health Agency in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2007; 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.