Organization Active NPI

Ocean Reef Volunteer Fire Department Inc.

  • Ambulance
  • Key Largo, FL
National Provider Identifier
1184674889
Registry record updated Jul 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
2643 Issued in FL
Legal business name
OCEAN REEF VOLUNTEER FIRE DEPARTMENT INC.
Practice address
110 Anchor Dr
Key Largo, FL 33037
Phone
(305) 367-2222
Fax
(305) 367-3139
NPI assigned
May 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Gregory Lunsford
Title
Vice President
Phone
(305) 367-7323

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 2643 FL Primary

Addresses

Primary practice location

110 Anchor Dr
Key Largo, FL 33037

Mailing address

24 Dockside LN
PMB 505
Key Largo, FL 33037-5267
Phone (305) 367-3067

Other identifiers 1

IdentifierTypeStateIssuer
A0494OtherFLBCBS

Other names 1

  • Ocean Reef Public Safety Department Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120713000033 FL Part B Supplier - Ambulance Service Supplier 2668637802 Practice locations: Key Largo, FL

National Provider Directory

National Provider Directory

Locations

24 Dockside Ln
Key Largo, FL 33037
Phone (305) 367-3096

110 Anchor Dr
Key Largo, FL 33037
Phone (305) 367-2222

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343174400000",
    "number": "1184674889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 DOCKSIDE LN",
            "address_2": "PMB 505",
            "city": "KEY LARGO",
            "state": "FL",
            "postal_code": "330375267",
            "telephone_number": "305-367-3067",
            "fax_number": "305-367-4246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 ANCHOR DR",
            "city": "KEY LARGO",
            "state": "FL",
            "postal_code": "33037",
            "telephone_number": "305-367-2222",
            "fax_number": "305-367-3139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEAN REEF VOLUNTEER FIRE DEPARTMENT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2012-07-25",
        "status": "A",
        "authorized_official_last_name": "LUNSFORD",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "305-367-7323",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "FL",
            "license": "2643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "A0494",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ocean Reef Public Safety Department",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Key Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.