County of Lake Office Clerk Board County Commissioners

Primary specialty

AmbulanceTaxonomy code 341600000X

License

10007 Issued in FL

Legal business name

COUNTY OF LAKE OFFICE CLERK BOARD COUNTY COMMISSIONERS

Doing business as

Lake Emergency Medical Services

Practice address

315 W Main St
Tavares, FL 32778-3813

Phone

(352) 343-9850

NPI assigned

Aug 9, 2018

Last updated

Aug 9, 2018By 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

Mr. Timothy I. Sullivan

Title

Board Chairman

Phone

(352) 343-9850

Specialties & licenses 1

Addresses

Other names 1

• Lake Emergency Medical Services Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Tax ID family

County of Lake Office Clerk2 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.

• Lake County Board of County Commissioners

  • Community/Behavioral Health Agency
  • Tavares, FL
  • NPI 1164686028
  NPD tax ID

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Lake Emergency Medical Services, Inc.

  • Land Ambulance
  • Mount Dora, FL
  • NPI 1497034318

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1533772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533772800000",
    "number": "1811476930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 W MAIN ST",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327783813",
            "telephone_number": "352-343-9850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W MAIN ST",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327783813",
            "telephone_number": "352-343-9850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF LAKE OFFICE CLERK BOARD COUNTY COMMISSIONERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-09",
        "last_updated": "2018-08-09",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "I.",
        "authorized_official_title_or_position": "BOARD CHAIRMAN",
        "authorized_official_telephone_number": "352-343-9850",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "FL",
            "license": "10007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Emergency Medical Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lake Emergency Medical Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cornerstone Health Services LLC
• Cornerstone Hospice & Palliative Care Inc
• Cornerstone Primary Care, LLC
• Janice Lynette Cornett, LPN
• Counseling & Development Center Inc
• Court Educational Programs
• Christina Ruth Covelli, M.D.
• Lisa Dawn Crawford, LPTA
• Matthew B Crawford, CRNA
• Creative Milestones Support Services Inc

• Ambulance in Tavares, FL
• Providers in Tavares, FL by specialty
• Ambulance in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2018; 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.