Active NPI
City of Key West
- Land Ambulance
- Key West, FL
National Provider Identifier
1205224656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- CITY OF KEY WEST
- Practice address
- 1600 N Roosevelt Blvd
Key West, FL 33040-7254 - Phone
- (305) 809-3796
- Fax
- (270) 744-0834
- NPI assigned
- Jan 7, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Edward Perez
- Title
- Chief - Director
- Phone
- (305) 809-3796
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
1600 N Roosevelt Blvd
Key West, FL 33040-7254
Mailing address
1600 N Roosevelt Blvd
Key West, FL 33040-7254
Phone (305) 809-3796
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150519000976 | FL | Part B Supplier - Ambulance Service Supplier | 6103146907 | Practice locations: Key West, FL |
National Provider Directory
National Provider DirectoryLocations
1600 N Roosevelt Blvd
Key West, FL 33040
Phone (305) 809-3796
1499 Kennedy Dr
Key West, FL 33040
Phone (305) 809-3796
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420588800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1420588800000",
"number": "1205224656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 N ROOSEVELT BLVD",
"city": "KEY WEST",
"state": "FL",
"postal_code": "330407254",
"telephone_number": "305-809-3796",
"fax_number": "270-744-0834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 N ROOSEVELT BLVD",
"city": "KEY WEST",
"state": "FL",
"postal_code": "330407254",
"telephone_number": "305-809-3796",
"fax_number": "270-744-0834"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF KEY WEST",
"organizational_subpart": "NO",
"enumeration_date": "2015-01-07",
"last_updated": "2015-01-07",
"status": "A",
"authorized_official_last_name": "PEREZ",
"authorized_official_first_name": "EDWARD",
"authorized_official_title_or_position": "CHIEF - DIRECTOR",
"authorized_official_telephone_number": "305-809-3796"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Key West, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2015; 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.