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Contact Information

COUNTY OF LAFAYETTE OFFICE CLERK BOARD COUNTY COMMISSIONERS
136 S.E. INDUSTRIAL AVENUE
MAYO, FL32066
 Phone: 386-294-1633
 Fax: 386-294-4242
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ambulance

341600000X 59 Ambulance Service Provider
Indicates primary specialty

NPI Profile & details for COUNTY OF LAFAYETTE OFFICE CLERK BOARD COUNTY COMMISSIONERS

NPI Number 1942406475
LBN Legal business name COUNTY OF LAFAYETTE OFFICE CLERK BOARD COUNTY COMMISSIONERS
Authorized official OSCAR TOMPKINS - (EMS DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 06/22/2007
Last updated 07/30/2025 - About 10 months ago
Identifiers
FL License # 2655
FL License # 2915
FL License # 2978
FL Medicaid 400118400
FL Other 220145 AVMED HEALTH PLAN
FL Other A0600 BLUE CROSS / BLUE SHIELD
FL Other SG1611 METCARE HEALTH PLANS, INC
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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