# COUNTY OF JACKSON OFFICE CLERK BOARD COUNTY COMMISSIONERS

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** JACKSON COUNTY BOARD OF COUNTY COMMISSIONERS
- **Other names:** Jackson Co Fire Rescue
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1982640397
- **Legal business name:** JACKSON COUNTY BOARD OF COUNTY COMMISSIONERS
- **Authorized official:** LINDA GRAY (OFFICE MANAGER)
- **Authorized official phone:** (850) 718-0000

## Contact information

- **Practice address:** 2864 MADISON STREET, MARIANNA, FL 32448-4610
- **Practice address phone:** (850) 718-0000
- **Practice address fax:** (850) 718-0048
- **Mailing address:** 2864 MADISON STREET, MARIANNA, FL 32448-4610
- **Mailing address phone:** (850) 718-0000
- **Mailing address fax:** (850) 718-0048

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | — | — | Yes |

## Other

- **Enumeration date:** 06/22/2006
- **Last updated:** 12/03/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 088024800 | — | FL |
| 01 | — | A0435 | BLUE CROSS OF FLORIDA | FL |
| 01 | — | P00200104 | PALMETTO GBA -RR MEDICARE | FL |