Organization Active NPI

Century Ambulance Service, Inc.

Doing business as Century EMS - Columbia County

  • Ambulance
  • Jacksonville, FL
National Provider Identifier
1932153335
Registry record updated Aug 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
CENTURY AMBULANCE SERVICE, INC.
Doing business as
Century EMS - Columbia County
Practice address
740 Greeland Ave
Jacksonville, FL 32221-4404
Phone
(904) 356-0835
Fax
(904) 356-9677
NPI assigned
May 20, 2006
Last updated
Aug 12, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2022

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

Authorized official

Name
Justin Meiser
Title
Chief Financial Officer
Phone
(330) 217-2652

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary
Land Ambulance 3416L0300X 002566 FL

Addresses

Primary practice location

740 Greeland Ave
Jacksonville, FL 32221-4404

Mailing address

740 Greeland Ave
Jacksonville, FL 32221-4404
Phone (904) 356-0835

Other names 1

  • Century EMS - Columbia County Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040706000073 FL Part B Supplier - Ambulance Service Supplier 4082691357 Practice locations: Steinhatchee, FL; Saint Augustine, FL; Perry, FL; Lake City, FL; Fort White, FL; Fort Lauderdale, FL; Fleming Island, FL; Jacksonville, FL

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

106 Cabbage Patch Dr
East Palatka, FL 32131
Phone (310) 218-6594

1410 E Oak St
Fernandina Beach, FL 32034
Phone (904) 491-6906

1880 S 14th St
Ste 101
Fernandina Beach, FL 32034

1747 Baptist Clay Dr
#120
Fleming Island, FL 32003

10198 SW State Road 47
Fort White, FL 32038

3519 Enterprise Way
Green Cove Springs, FL 32043

11355 Old Saint Augustine Rd
Jacksonville, FL 32258

2144 Rosselle St
Jacksonville, FL 32204

5836 Lone Pine Rd
Jacksonville, FL 32216
Phone (310) 218-6594

624 Goodwin St
Jacksonville, FL 32204
Phone (310) 218-6594

740 Greeland Ave
Jacksonville, FL 32221
Phone (310) 218-6594

1181 10th St S
Jax Bch, FL 32250
Phone (904) 356-2828

1509 SW Century Gln
Lake City, FL 32025
Phone (310) 218-6594

619 Goldkist Blvd SW
Live Oak, FL 32064
Phone (386) 362-7494

1617 Smith St
Orange Park, FL 32073
Phone (310) 218-6594

900 Cherry St
Panama City, FL 32401
Phone (850) 640-0794

1761 Dobbs Rd
#89
Saint Augustine, FL 32084

107C Edwards Rd
Starke, FL 32091
Phone (904) 356-2828

463155 State Road 200
Ste 12
Yulee, FL 32097
Phone (904) 312-3048

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660262400000",
    "number": "1932153335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 GREELAND AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322214404",
            "telephone_number": "904-356-0835",
            "fax_number": "904-356-9677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 GREELAND AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322214404",
            "telephone_number": "904-356-0835",
            "fax_number": "904-356-9677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTURY AMBULANCE SERVICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A",
        "authorized_official_last_name": "MEISER",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "330-217-2652"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "FL",
            "license": "002566",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Century EMS - Columbia County",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; 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.