Provider Demographics
NPI:1679520571
Name:COUNTY OF PINELLAS BOARD OF COUNTY COMMISSIONERS
Entity Type:Organization
Organization Name:COUNTY OF PINELLAS BOARD OF COUNTY COMMISSIONERS
Other - Org Name:PINELLAS COUNTY EMERGENCY MEDICAL SERVICES (D.B.A. SUNSTAR EMS)
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF EMS ADMINISTRATION
Authorized Official - Prefix:MR
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:
Authorized Official - Last Name:HARE
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:727-582-5752
Mailing Address - Street 1:12490 ULMERTON RD
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33774-2700
Mailing Address - Country:US
Mailing Address - Phone:727-582-2000
Mailing Address - Fax:727-582-2021
Practice Address - Street 1:12490 ULMERTON RD
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33774-2700
Practice Address - Country:US
Practice Address - Phone:727-582-2000
Practice Address - Fax:727-582-2021
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-27
Last Update Date:2020-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0024683416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0069063OtherAETNA
FL087678000Medicaid
FL0081-0000263OtherUNITED HEALTH CARE
FL62308OtherCIGNA
FL9598934OtherGHI
FL270850OtherAVMED
FL31251OtherBLUE CROSS BLUE SHIELD
FL230268OtherHUMANA
FL087678000Medicaid