NPIMap

Organization Active NPI

City of Philadelphia

Doing business as City of Philadelphia - Fire Department

  • Land Ambulance
  • Philadelphia, PA
National Provider Identifier
1255468435
Registry record updated May 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
00298 Issued in PA
Legal business name
CITY OF PHILADELPHIA
Doing business as
City of Philadelphia - Fire Department
Practice address
240 Spring Garden St
Philadelphia, PA 19123-2923
Phone
(215) 686-1370
NPI assigned
Feb 27, 2007
Last updated
May 14, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2012

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

Authorized official

Name
Lloyd Ayers
Title
Commissioner
Phone
(215) 686-1300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 00298 PA Primary

Addresses

Primary practice location

240 Spring Garden St
Philadelphia, PA 19123-2923

Mailing address

PO Box 8500
Lockbox #9437
Philadelphia, PA 19178-9437
Phone (215) 686-1370

Other identifiers 1

IdentifierTypeStateIssuer
01107656MedicaidPA

Other names 1

  • City of Philadelphia - Fire Department Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050308000727 PA Part B Supplier - Ambulance Service Supplier 6305758723 Practice locations: Philadelphia, PA

Other NPIs with the same Medicare PAC ID 9

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
City of Phila Doh23 organizations share this tax ID, including this one

Other organizations with this tax ID 22

Organizations that report the same tax identification number in the National Provider Directory.

View all 22

Ownership & related parties

All facility ownership & control disclosures 8

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Department of Public Health - Philadelphia District HC #2Philadelphia, PA, CCN 391872 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Feb 5, 2015
Department of Public Health - Strawberry Mansion Health CenterPhiladelphia, PA, CCN 391879 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Apr 1, 1985
Department of Public Health - Philadelphia District Health Center #10Philadelphia, PA, CCN 391878 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jan 2, 1976
Department of Public Health - Philadelphia District HC #9Philadelphia, PA, CCN 391877 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jul 1, 1966
Department of Public Health - Philadelphia District HC #6Philadelphia, PA, CCN 391876 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jan 2, 1984
Department of Public Health-Philadelphia District Health Center #4Philadelphia, PA, CCN 391874 Federally qualified health center Operational/Managerial Control Feb 24, 2011
Department of Public Health-Philadelphia District HC #5Philadelphia, PA, CCN 391875 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jan 2, 1980
Department of Public Health - Philadelphia District Health Center #3Philadelphia, PA, CCN 391873 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) May 15, 2015

Owned or controlled facilities with NPI records 8

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • City of Philadelphia

    dba Health Care Center 6

    • Federally Qualified Health Center (FQHC)
    • Philadelphia, PA
    • NPI 1023125085

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • City of Philadelphia

    dba Health Care Center 4

    • Federally Qualified Health Center (FQHC)
    • Philadelphia, PA
    • NPI 1144337189

    Operational/Managerial Control

    CMS ownership
  • City of Philadelphia

    dba Strawberry Mansion Health Center

    • Federally Qualified Health Center (FQHC)
    • Philadelphia, PA
    • NPI 1417064353

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • City of Philadelphia

    dba Health Care Center 9

    • Federally Qualified Health Center (FQHC)
    • Philadelphia, PA
    • NPI 1427165307

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • City of Philadelphia

    dba Health Care Center 5

    • Federally Qualified Health Center (FQHC)
    • Philadelphia, PA
    • NPI 1518074566

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • City of Philadelphia

    dba Health Center 10

    • Federally Qualified Health Center (FQHC)
    • Philadelphia, PA
    • NPI 1699882597

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • City of Philadelphia

    dba Health Care Center 3

    • Federally Qualified Health Center (FQHC)
    • Philadelphia, PA
    • NPI 1740397769

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • City of Philadelphia

    dba Health Care Center 2

    • Federally Qualified Health Center (FQHC)
    • Philadelphia, PA
    • NPI 1942317094

    5% Or Greater Direct Ownership Interest

    CMS ownership

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336953600000",
    "number": "1255468435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8500",
            "address_2": "LOCKBOX #9437",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191789437",
            "telephone_number": "215-686-1370",
            "fax_number": "614-987-2075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 SPRING GARDEN ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191232923",
            "telephone_number": "215-686-1370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF PHILADELPHIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2012-05-14",
        "status": "A",
        "authorized_official_last_name": "AYERS",
        "authorized_official_first_name": "LLOYD",
        "authorized_official_title_or_position": "COMMISSIONER",
        "authorized_official_telephone_number": "215-686-1300"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "00298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01107656",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City of Philadelphia - Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.