Active NPI
Falck Southeast II Corp
- Land Ambulance
- Key West, FL
National Provider Identifier
1265781124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- FALCK SOUTHEAST II CORP
- Practice address
- 2780 N Roosevelt Blvd
Key West, FL 33040-3930 - Phone
- (888) 876-2100
- NPI assigned
- Sep 6, 2012
- Organization subpart
- Yes
- Parent organization
- FALCK USA, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Charles Maymon
- Title
- Ceo
- Phone
- (888) 876-2100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
2780 N Roosevelt Blvd
Key West, FL 33040-3930
Mailing address
PO Box 538598
Atlanta, GA 30353-8598
Phone (888) 876-2100
Other practice location 1
6605 NW 74th Ave
Miami, FL 33166-2819
Phone (888) 876-2100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20121120000419 | FL | Part B Supplier - Ambulance Service Supplier | 7012168438 |
5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Fort Pierce, FL; Jacksonville, FL; Orlando, FL |
Other NPIs on the same Medicare enrollment 5
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Part of
- Falck USA Inc
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346889600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1523836800000",
"number": "1265781124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 538598",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303538598",
"telephone_number": "888-876-2100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2780 N ROOSEVELT BLVD",
"city": "KEY WEST",
"state": "FL",
"postal_code": "330403930",
"telephone_number": "888-876-2100"
}
],
"practiceLocations": [
{
"address_1": "6605 NW 74th Ave",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331662819",
"country_code": "US",
"telephone_number": "888-876-2100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "FALCK SOUTHEAST II CORP",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "FALCK USA, INC.",
"enumeration_date": "2012-09-06",
"last_updated": "2018-04-16",
"status": "A",
"authorized_official_last_name": "MAYMON",
"authorized_official_first_name": "CHARLES",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "888-876-2100",
"authorized_official_name_prefix": "Mr."
},
"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 Apr 16, 2018; 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.