Provider Demographics
NPI:1316991532
Name:NATURE COAST EMERGENCY MEDICAL FOUNDATION INC
Entity type:Organization
Organization Name:NATURE COAST EMERGENCY MEDICAL FOUNDATION INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EMS CHIEF/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:BAXTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-496-0016
Mailing Address - Street 1:3876 W COUNTRY HILL DR
Mailing Address - Street 2:
Mailing Address - City:LECANTO
Mailing Address - State:FL
Mailing Address - Zip Code:34461-9830
Mailing Address - Country:US
Mailing Address - Phone:352-249-4700
Mailing Address - Fax:352-249-4701
Practice Address - Street 1:3876 W COUNTRY HILL DR
Practice Address - Street 2:
Practice Address - City:LECANTO
Practice Address - State:FL
Practice Address - Zip Code:34461-9830
Practice Address - Country:US
Practice Address - Phone:352-249-4700
Practice Address - Fax:352-249-4701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-20
Last Update Date:2020-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2504341600000X
3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL400079000Medicaid
A0723Medicare ID - Type Unspecified