County of Wakulla Board of County Commissioners

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

COUNTY OF WAKULLA BOARD OF COUNTY COMMISSIONERS

Practice address

318 Trice Lane
Crawfordville, FL 32327-2261

Phone

(850) 745-8698

Fax

(850) 926-4982

NPI assigned

Feb 1, 2007

Organization subpart

No

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

Authorized official

Name

Kelly Graves

Title

Public Safety Director/Fire Chief

Phone

(850) 745-8698

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Wakulla County Fire Rescue Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642032000000",
    "number": "1952448383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 TRICE LN",
            "city": "CRAWFORDVILLE",
            "state": "FL",
            "postal_code": "323272261",
            "telephone_number": "850-745-8698",
            "fax_number": "850-926-4982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 TRICE LANE",
            "city": "CRAWFORDVILLE",
            "state": "FL",
            "postal_code": "323272261",
            "telephone_number": "850-745-8698",
            "fax_number": "850-926-4982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF WAKULLA BOARD OF COUNTY COMMISSIONERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A",
        "authorized_official_last_name": "GRAVES",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "PUBLIC SAFETY DIRECTOR/FIRE CHIEF",
        "authorized_official_telephone_number": "850-745-8698"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0881058",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wakulla County Fire Rescue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lori Christine Cate, M.P.T.
• Valerie Jeanette Clenney, PT
• Coastal Rehabilitation and Treatment Services.
• Christopher John Cobb, PHARMD
• Erika Shekila Cody
• John Craig
• Crawfordville Pharmacy Inc
• William Joe Crunk III
• Jillian Blackman Crymes, LCSW
• Justin Lee Crymes, LMHC

• Land Ambulance in Crawfordville, FL
• Providers in Crawfordville, FL by specialty
• Land Ambulance in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.