1306982962 NPI number — COUNTY OF HERNANDO BOARD OF COUNTY COMMISSIONERS

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1306982962 NPI number — COUNTY OF HERNANDO BOARD OF COUNTY COMMISSIONERS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
COUNTY OF HERNANDO BOARD OF COUNTY COMMISSIONERS
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1306982962
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/24/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3445 BOB HARTUNG COURT
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SPRING HILL
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
34606-2947
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
352-688-5030
Provider Business Mailing Address Fax Number:
352-688-5043

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
SPRING HILL FIRE RESCUE
Provider Second Line Business Practice Location Address:
3445 BOB HARTUNG COURT
Provider Business Practice Location Address City Name:
SPRING HILL
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
34606-2947
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
352-688-5030
Provider Business Practice Location Address Fax Number:
352-688-5043
Provider Enumeration Date:
01/30/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
MORRISON
Authorized Official First Name:
JOHN
Authorized Official Middle Name:
J
Authorized Official Title or Position:
FIRE CHIEF
Authorized Official Telephone Number:
352-688-5030

Provider Taxonomy Codes

  • Taxonomy code: 3416L0300X , with the licence number:  2679 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 215049 . This is a "AVMED HEALTH PLANS" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".