MEDICARE: LEHIGH ACRES FIRE CONTROL & RESCUE DISTRICT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	341600000X	Ambulance

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578535571
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LEHIGH ACRES FIRE CONTROL & RESCUE DISTRICT

Provider Business Mailing Address
First Line	:	PO BOX 1136
Second Line	:
City	:	LEHIGH ACRES
State	:	FL
Zip	:	33991
Country	:	US
Telephone Number	:	239-303-5316
Fax Number	:	239-369-2436

Provider Business Practice Location Address
First Line	:	636 THOMAS SHERWIN AVE S
Second Line	:
City	:	LEHIGH ACRES
State	:	FL
Zip	:	33974-0555
Country	:	US
Telephone Number	:	239-303-5316
Fax Number	:	239-369-2436

Authorized Official
Title or Position	:	CHIEF OF DEPARTMENT
Name	:	MR. DONALD ADAMS
Credential	:
Telephone Number	:	239-303-5300

Provider Enumeration Date	:	02/03/2006
Last Update Date	:	03/28/2008

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