Provider Demographics
NPI:1588676290
Name:HIGHLANDS COUNTY BOARD OF COUNTY COMMISSIONERS
Entity Type:Organization
Organization Name:HIGHLANDS COUNTY BOARD OF COUNTY COMMISSIONERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS SERVICES DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TANYA
Authorized Official - Middle Name:
Authorized Official - Last Name:CANNADY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:863-402-6842
Mailing Address - Street 1:4500 GEORGE BLVD
Mailing Address - Street 2:
Mailing Address - City:SEBRING
Mailing Address - State:FL
Mailing Address - Zip Code:33875-5803
Mailing Address - Country:US
Mailing Address - Phone:863-402-6630
Mailing Address - Fax:863-402-6793
Practice Address - Street 1:600 S COMMERCE AVE
Practice Address - Street 2:
Practice Address - City:SEBRING
Practice Address - State:FL
Practice Address - Zip Code:33870-3809
Practice Address - Country:US
Practice Address - Phone:863-402-6630
Practice Address - Fax:863-402-6793
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-12
Last Update Date:2022-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3558341600000X
3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
406590510OtherRAILROAD MEDICARE
FL088127900Medicaid
FL111363700Medicaid