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LIBERTY COUNTY AMBULANCE SERVICE
NPI 1093743775
Emergency Medical Technician, Paramedic in Bristol, FL

Active since June 29, 2006CLIA 10D0993437 · Waiver
12503 NW VIRGINIA G WEAVER ST, BRISTOL, FL 32321(850) 643-5866(850) 643-2866 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Liberty County Ambulance Service NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIBERTY COUNTY AMBULANCE SERVICE (NPI 1093743775) is a healthcare organization registered as an emergency medical technician, paramedic in Bristol, Florida and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through November 13, 2027 and lists Katherine H Pippin, Director, as its authorized official.

NPPES Registry Identity

NPI1093743775
Entity TypeOrganization
Primary Taxonomy146L00000X
Legal Business NameLIBERTY COUNTY AMBULANCE SERVICE
Location Address12503 NW VIRGINIA G WEAVER STBristol, FL 32321-0399
Mailing Address12503 Nw Virginia G Weaver StBristol, FL 32321-0399 · (850) 643-5866 · Fax (850) 643-2866
Phone(850) 643-5866
Fax(850) 643-2866
Organization SubpartNo
Authorized OfficialKatherine H PippinDirector · (850) 643-5866
Enumeration DateJune 29, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1093743775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency Medical Technician, ParamedicEmergency Medical Service Providers
Taxonomy Code146L00000X
License✔ Licensed in FL · 002611
Definition
An EMT, Paramedic is an individual trained and certified to perform advanced life support (ALS) in medical emergencies based on individual state boards.
12503 NW VIRGINIA G WEAVER ST, Bristol, FL 32321
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D0993437

Liberty County Ems · Bristol, FL
Active · expires Nov 13, 2027
CLIA Number10D0993437
Laboratory TypeAmbulance
Certificate Effective DateNovember 14, 2025
Certificate Expiration DateNovember 13, 2027
Laboratory DirectorMelissa Brown
Laboratory Phone(850) 643-5866
Laboratory LocationLiberty County Ems12503 NW Virginia G Weaver St, Bristol, FL 32321
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COUNTY OF LIBERTY BOARD OF COUNTY COMMISSIONERS
Ambulance (Land Transport)
12503 NW VIRGINIA G WEAVER ST
BRISTOL, FL 32321
Liberty County (850) 643-5866

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Liberty County Ambulance Service's NPI number?

The NPI number for Liberty County Ambulance Service is 1093743775. It was assigned to this organization in the NPPES registry on June 29, 2006.

Where is Liberty County Ambulance Service located?

Liberty County Ambulance Service is located at 12503 NW Virginia G Weaver St, Bristol, FL 32321. The listed phone number is (850) 643-5866.

What is Liberty County Ambulance Service's specialty?

The primary specialty registered for this NPI is Emergency Medical Technician, Paramedic with taxonomy code 146L00000X.

Does Liberty County Ambulance Service hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0993437) is associated with this NPI, valid through November 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Liberty County Ambulance Service was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.