Organization Active NPI

City of Key West

  • Land Ambulance
  • Key West, FL
National Provider Identifier
1205224656
Registry record updated Jan 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
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

Updated by the provider on Jan 7, 2015

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20150519000976 FL Part B Supplier - Ambulance Service Supplier 6103146907 Practice locations: Key West, FL

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.