Organization
SOUTH WALTON FIRE DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LES HALLMAN (FIRE CHIEF)
(850) 267-1298
Entity
Organization
Contact information
Practice address
911 CR 393 N, SANTA ROSA BEACH, FL 32459-1226
(850) 267-1298
(850) 267-3294
Mailing address
PO BOX 1226, SANTA ROSA BEACH, FL 32459-1226
(850) 267-1298
(850) 267-3294
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
002419
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A0736
BLUE CROSS PROVIDER NUMBE
FL
Enumeration date
06/16/2005
Last updated
08/22/2020
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