ST. JOHNS COUNTY FIRE RESCUE
NPI 1720071343
Ambulance - Land Transport in St Augustine, FL

Q: What is County Of St Johns Board Of County Commissioners's specialty?

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

Active since August 30, 2005CLIA 10D0894594 · Waiver

3149 N PONCE DE LEON BLVD, SUITE 9, ST AUGUSTINE, FL 32084(904) 209-1700(904) 209-1706 Get Directions Write a Review

NPPES record last updated: May 16, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About St. Johns County Fire Rescue NPPES

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

ST. JOHNS COUNTY FIRE RESCUE (NPI 1720071343) is a healthcare organization registered as a land transport in St Augustine, Florida and active in the NPI registry since August 2005. The organization holds a CLIA Waiver certificate valid through November 16, 2026 and lists Jeff Prevatt, Assistant Fire Chief, as its authorized official.

NPPES Registry Identity

NPI1720071343

Entity TypeOrganization

Primary Taxonomy3416L0300X

Legal Business NameCOUNTY OF ST JOHNS BOARD OF COUNTY COMMISSIONERS

Location Address3149 N PONCE DE LEON BLVD, SUITE 9St Augustine, FL 32084-8601

Mailing Address3149 N Ponce De Leon Blvd, Suite 9St Augustine, FL 32084-8601 · (904) 209-1700 · Fax (904) 209-1706

Phone(904) 209-1700

Fax(904) 209-1706

Organization SubpartNo

Authorized OfficialJeff PrevattAssistant Fire Chief · (904) 209-1713

Enumeration DateAugust 30, 2005

Last NPPES UpdateMay 16, 2013

✔ NPI 1720071343 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 · 2664

3149 N PONCE DE LEON BLVD, St Augustine, FL 32084

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Other Names 1

Other NameSt. Johns County Fire Rescue

Other Identifiers 2

Medicare ID-Type UnspecifiedA0461FL · Medicare Provider #

Medicaid08948000FL

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 10D0894594

St Johns County Fire Rescue · Saint Augustine, FL

Active · expires Nov 16, 2026

CLIA Number10D0894594

Laboratory TypeMobile Laboratory

Certificate Effective DateNovember 17, 2024

Certificate Expiration DateNovember 16, 2026

Laboratory DirectorKerry Bachista

Laboratory Phone(904) 823-2640

Laboratory LocationSt Johns County Fire Rescue3657 Gaines Road, Saint Augustine, FL 32084

CLIA data matches this NPI record on: Name

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.

50,881 services4,463 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.

4,415 services3,273 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.

2,255 services1,743 patients

Advanced life support, level 2 (als 2) A0433

Advanced Life Support Level 2 (ALS 2) is a medical service provided during emergencies. It involves advanced procedures like defibrillation, medication administration or endotracheal intubation by trained professionals to stabilize critical patients.

138 services137 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.

44 services44 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 County Of St Johns Board Of County Commissioners's NPI number?

The NPI number for County Of St Johns Board Of County Commissioners is 1720071343. It was assigned to this organization in the NPPES registry on August 30, 2005. The provider is also known as St. Johns County Fire Rescue.

Where is County Of St Johns Board Of County Commissioners located?

County Of St Johns Board Of County Commissioners is located at 3149 N Ponce De Leon Blvd Suite 9, St Augustine, FL 32084. The listed phone number is (904) 209-1700.

What is County Of St Johns Board Of County Commissioners's specialty?

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

Does County Of St Johns Board Of County Commissioners hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0894594) is associated with this NPI, valid through November 16, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for County Of St Johns Board Of County Commissioners was last updated on May 16, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.