Organization
CLAY COUNTY BOARD OF COUNTY COMMISSIONERS
Active
Other names
Clay County Fire Rescue
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID MOTES (AO)
(904) 541-2778
Entity
Organization
Contact information
Practice address
2519 STATE ROAD 16 W, GREEN COVE SPRINGS, FL 32043-4819
(904) 529-5805
(904) 284-8015
Mailing address
PO BOX 947668, ATLANTA, GA 30394-7668
(904) 529-3868
(904) 278-4749
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
341600000X
FL
341600000X
Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0081031200
FEDERAL BLACK LUNG
—
05
—
088103100
—
FL
01
—
162909000
US DEPT OF LABOR W/C
—
Enumeration date
11/16/2005
Last updated
03/04/2026
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