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LIBERTY AMBULANCE SERVICE INC
NPI 1407850159
Ambulance - Land Transport in Jacksonville, FL

Active since June 10, 2005CLIA 10D1019768 · Waiver
1626 ATLANTIC UNIVERSITY CIR, JACKSONVILLE, FL 32207(904) 805-0293(904) 724-0226 Get Directions Write a Review

NPPES record last updated: May 12, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Liberty Ambulance Service Inc NPPES

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

LIBERTY AMBULANCE SERVICE INC (NPI 1407850159) is a healthcare organization registered as a land transport in Jacksonville, Florida and active in the NPI registry since June 2005. The organization holds a CLIA Waiver certificate valid through November 25, 2027 and lists Michael A Assaf, President, as its authorized official.

NPPES Registry Identity

NPI1407850159
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameLIBERTY AMBULANCE SERVICE INC
Location Address1626 ATLANTIC UNIVERSITY CIRJacksonville, FL 32207-2227
Mailing Address1626 Atlantic University CirJacksonville, FL 32207-2227 · (904) 805-0293 · Fax (904) 724-0226
Phone(904) 805-0293
Fax(904) 724-0226
Organization SubpartNo
Authorized OfficialMichael A AssafPresident · (904) 721-0008
Enumeration DateJune 10, 2005
Last NPPES UpdateMay 12, 2011
✔ NPI 1407850159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
License✔ Licensed in FL · 002470
1626 ATLANTIC UNIVERSITY CIR, Jacksonville, FL 32207
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Other Identifiers 2

Medicaid099501100FL
Medicare PINA0554FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

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 10D1019768

Liberty Ambulance Service · Jacksonville, FL
Active · expires Nov 25, 2027
CLIA Number10D1019768
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateNovember 26, 2025
Certificate Expiration DateNovember 25, 2027
Laboratory DirectorJohn Milanick
Laboratory Phone(904) 721-0008
Laboratory LocationLiberty Ambulance Service1626 Atlantic University Cir, Jacksonville, FL 32207
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ground mileage, per statute mile A0425
Ground mileage per statute mile is a method of calculating the cost of transportation for medical services. It is used when a patient needs to be transported by ground ambulance. The cost is calculated per mile, from the pick-up location to the medical facility.
8,443 services737 patients
Ambulance service, basic life support, non-emergency transport, (bls) A0428
Basic Life Support (BLS) non-emergency ambulance service provides safe transportation for patients who don't need immediate medical attention. It includes monitoring vital signs, ensuring comfort, and administering basic care during transport.
435 services427 patients
Ambulance service, basic life support, emergency transport (bls-emergency) A0429
Ambulance service with basic life support (BLS-Emergency) provides immediate transport for patients in critical situations. Medical professionals on board deliver essential care like CPR, wound dressing, and oxygen therapy to stabilize patients during the journey.
222 services207 patients
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) A0426
Ambulance Service, Advanced Life Support, Non-Emergency Transport, Level 1 (ALS 1) is a medical transportation service for patients who don't have an immediate life-threatening condition but require advanced medical monitoring or interventions during the journey.
73 services71 patients
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) A0427
Ambulance Service, Advanced Life Support, Level 1 (ALS 1 - Emergency) is a critical care transport service for emergency situations. It includes a team of healthcare professionals equipped with advanced skills and tools to manage life-threatening conditions during transport.
54 services53 patients

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 Ambulance Service Inc's NPI number?

The NPI number for Liberty Ambulance Service Inc is 1407850159. It was assigned to this organization in the NPPES registry on June 10, 2005.

Where is Liberty Ambulance Service Inc located?

Liberty Ambulance Service Inc is located at 1626 Atlantic University Cir, Jacksonville, FL 32207. The listed phone number is (904) 805-0293.

What is Liberty Ambulance Service Inc's specialty?

The primary specialty registered for this NPI is Ambulance, specializing in Land Transport, with taxonomy code 3416L0300X.

Does Liberty Ambulance Service Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1019768) is associated with this NPI, valid through November 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Liberty Ambulance Service Inc accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Liberty Ambulance Service Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Liberty Ambulance Service Inc was last updated on May 12, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.