Provider Demographics
NPI:1518960426
Name:ESCAMBIA CO BOARD OF COUNTY COMMISS
Entity Type:Organization
Organization Name:ESCAMBIA CO BOARD OF COUNTY COMMISS
Other - Org Name:ESCAMBIA COUNTY EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SHANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:JENKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-471-6508
Mailing Address - Street 1:6575 N W ST
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32505-1714
Mailing Address - Country:US
Mailing Address - Phone:850-471-6508
Mailing Address - Fax:850-471-6515
Practice Address - Street 1:6575 N W ST
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32505-1714
Practice Address - Country:US
Practice Address - Phone:850-471-6508
Practice Address - Fax:850-471-6515
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-05-24
Last Update Date:2021-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0025383416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport