City of Miramar

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

CITY OF MIRAMAR

Doing business as

City of Miramar Fire Rescue

Practice address

14801 SW 27TH St
Miramar, FL 33027-4100

Phone

(954) 602-4802

Fax

(954) 430-5313

NPI assigned

Jul 6, 2005

Organization subpart

No

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

Authorized official

Name

Cliff Ricketts

Title

EMS Division Chief

Phone

(954) 602-4873

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• City of Miramar Fire Rescue Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Tax ID family

City of Miramar2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• City of Miramar

  • Adult Day Care Clinic/Center
  • Hollywood, FL
  • NPI 1912370446
  NPD tax ID

Locations

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

{
    "created_epoch": "1120608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634515200000",
    "number": "1356348312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 947249",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303947249",
            "telephone_number": "954-602-4802",
            "fax_number": "954-430-5313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14801 SW 27TH ST",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330274100",
            "telephone_number": "954-602-4802",
            "fax_number": "954-430-5313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF MIRAMAR",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-06",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A",
        "authorized_official_last_name": "RICKETTS",
        "authorized_official_first_name": "CLIFF",
        "authorized_official_title_or_position": "EMS DIVISION CHIEF",
        "authorized_official_telephone_number": "954-602-4873"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD PROVIDER ID",
            "identifier": "590007739",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PART B MEDICARE #",
            "identifier": "A0457",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "088070100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City of Miramar Fire Rescue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Hermence Saget Civil, FNP
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• Dawn H Clancy, MD
• Clarity Vision Center Inc.

• Ambulance in Miramar, FL
• Providers in Miramar, FL by specialty
• Ambulance in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; 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.