Provider Demographics
NPI:1700856754
Name:COUNTY OF GADSDEN BOARD COUNTY COMMISSIONERS
Entity Type:Organization
Organization Name:COUNTY OF GADSDEN BOARD COUNTY COMMISSIONERS
Other - Org Name:GADSDEN COUNTY EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:KRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:HOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-662-4068
Mailing Address - Street 1:PO BOX 488
Mailing Address - Street 2:
Mailing Address - City:QUINCY
Mailing Address - State:FL
Mailing Address - Zip Code:32353-0488
Mailing Address - Country:US
Mailing Address - Phone:850-662-4068
Mailing Address - Fax:850-662-1121
Practice Address - Street 1:276 LASALLE LEFALL DR
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:FL
Practice Address - Zip Code:32351-5324
Practice Address - Country:US
Practice Address - Phone:850-875-8690
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GADSDEN COUNTY BOARD COUNTY COMMISSIONERS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-01-24
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2674341600000X
FL2001341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL084065300Medicaid
FL084065300Medicaid