COUNTY OF LIBERTY BOARD OF COUNTY COMMISSIONERS (NPI# 1205982774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205982774 |
| Entity Type | Organization |
| Organization Name | COUNTY OF LIBERTY BOARD OF COUNTY COMMISSIONERS |
| Other Organization Name | LIBERTY COUNTY AMBULANCE SERVICE |
| Practice Address |
12503 Nw Virginia G Weaver St Bristol FL 32321-3340 |
| Mailing Address |
Po Box 399 Bristol FL 32321-0399 |
| Practice Telephone | 8506435866 |
| Practice Fax Number | 8506433499 |
| Mailing Telephone | 8506435866 |
| Mailing Fax Number | 8506433499 |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2012-09-06 |
| Authorized Official Name | ROBERT HILL (DIRECTOR) |
| Authorized Official Telephone | 8506432866 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
002611 | FL | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 088121000 | 05 | |
| FL | BCBS OF FLORIDA | A0202 | 01 |
| Other Name | Type Code |
|---|---|
| Liberty County Ambulance Service | Doing Business As Name - Organization |
| Street Address |
12503 NW VIRGINIA G WEAVER ST |
| City | BRISTOL |
| State | FL |
| Zip Code | 32321-3340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093743775 | Liberty County Ambulance Service | Emergency Medical Technician, Paramedic | 12503 Nw Virginia G Weaver St, Bristol, FL 32321-0399 | 2006-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649739194 | Amberly Portero | Counselor | 10611 Florida Highway 20, Bristol, FL 32321 | 2019-03-14 |
| 1194281121 | Ash Bailey Smith | Social Worker | 10659 Nw Sr 20, Bristol, FL 32321 | 2019-02-14 |
| 1508295692 | Maggie Chavez | Counselor | 12422 Ne Revell Road, Bristol, FL 32321 | 2013-11-08 |
| 1437586609 | Queen Brown Haven Assisted Living Facility | Assisted Living Facility | 6906 Nw Torreya Park Road, Bristol, FL 32321 | 2013-10-03 |
| 1538400072 | Ruby Lee Varnum | Assisted Living Facility | 12167 Nw Freeman Rd, Bristol, FL 32321 | 2013-03-08 |
| 1417233321 | April Dawn Landrum | Case Management | 13888 Nw Cr 12, Apalachee Center, Inc., Bristol, FL 32321 | 2011-10-25 |
| 1417191107 | Elizabeth Stephanie Hofrichter | Social Worker | 11033 Nw Sr 20, Bristol, FL 32321 | 2009-04-24 |
| 1275734881 | Efren L Baltazar | Obstetrics & Gynecology | 2571 Executive Center Circle East, Howard Building Division of Disability Determination, Tallahassee, FL 32321 | 2007-05-30 |
| 1336260322 | Laban Bontrager | Dentist | 12761 Ne Pea Ridge Rd, Bristol, FL 32321 | 2007-04-03 |
| 1225192404 | Liberty County School Board | Local Education Agency (LEA) | 12926 Nw Cr 12, Bristol, FL 32321 | 2006-12-21 |
| Find all providers in zip 32321 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
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|---|---|---|---|---|
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| 1861739997 | Conscu Inc | Ambulance | 2720 Bartam Rd, Suite 7, Bristol, PA 19007 | 2013-01-09 |
| 1700059607 | Bristol Fire & Rescue | Ambulance | 8312 198th Avenue, Bristol, WI 53104-0187 | 2008-04-11 |
| 1144354143 | Bristol Fire Dept Corp | Ambulance | 405 E Elkhart St, Bristol, IN 46507-9206 | 2007-03-14 |
| 1154354330 | Goodson Kinderhook Volunteer Fire Department Inc | Ambulance | 19864 Benhams Rd, Bristol, VA 24202-2800 | 2006-07-09 |
| 1902844368 | Town of Bristol | Ambulance | 8301 198th Ave, Bristol, WI 53104-9513 | 2006-06-04 |
| 1205816360 | Bucks County Rescue Squad | Ambulance | 143 King Street, Bristol, PA 19007 | 2006-01-17 |
| 1205821204 | Town of Bristol | Ambulance | 230 Lake St, Bristol, NH 03222-3572 | 2005-09-15 |
| 1659602290 | Village of Bristol | Ambulance | 8301 198th Ave, Bristol, WI 53104-9513 | 2010-01-21 |
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| 1568008977 | Ameripro Ems of Florida, LLC | Ambulance | 4810 Executive Park Ct Ste 112, Jacksonville, FL 32216-6018 | 2019-11-20 |
| 1265097513 | Mayo Clinic Jacksonville | Ambulance | 13970 Zumbro Dr, Jacksonville, FL 32224 | 2019-05-02 |
| 1861950743 | Avidtrans Services Inc. | Ambulance | 1900 Sw 68th Ave, Plantation, FL 33317-5023 | 2019-03-08 |
| 1841764065 | Medicab Transportation, LLC | Ambulance | 3049 Cleveland Avenue, Suite 275, Fort Myers, FL 33901 | 2019-01-22 |
| 1700350642 | Rapid Response Medical Transportation LLC | Ambulance | 8330 W State Road 84, Davie, FL 33324-4546 | 2019-01-14 |
| 1841763984 | Kindred Care Ems LLC | Ambulance | 6824 Norwood Ave, Jacksonville, FL 32208-4471 | 2019-01-10 |
| 1790262103 | Go Logix LLC | Ambulance | 911 S Woodrow Wilson St Ste 7, Plant City, FL 33563-9301 | 2018-07-27 |
| 1992208565 | First 2 Aid Ems, Inc | Ambulance | 1006 Windmill Grove Cir, Orlando, FL 32828-7238 | 2018-03-09 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.