Active NPI
City of Ocoee
- Ambulance
- Ocoee, FL
National Provider Identifier
1487916219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 3466
- Legal business name
- CITY OF OCOEE
- Practice address
- 150 N Lakeshore Dr
Ocoee, FL 34761-2223 - Phone
- (407) 905-3100
- Fax
- (407) 905-3194
- NPI assigned
- Jun 7, 2012
- 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
- Thomas L Smothers
- Title
- Fire Chief
- Phone
- (407) 905-3140
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 3466 | FL | Primary |
Addresses
Primary practice location
150 N Lakeshore Dr
Ocoee, FL 34761-2223
Mailing address
150 N Lakeshore Dr
Ocoee, FL 34761-2223
Phone (407) 905-3100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130221000252 | FL | Part B Supplier - Ambulance Service Supplier | 7618122748 | Practice locations: Ocoee, FL |
National Provider Directory
National Provider DirectoryLocations
563 S Bluford Ave
#2
Ocoee, FL 34761
Phone (407) 905-3100
2515 Maguire Rd
#39
Ocoee, FL 34761
Phone (407) 905-3140
563 S Bluford Ave
Ocoee, FL 34761
1500 N Clarke Rd
#26
Ocoee, FL 34761
Phone (407) 905-3140
563 S Bluford Ave
#25
Ocoee, FL 34761
Phone (407) 905-3100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339027200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1687910400000",
"number": "1487916219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 N LAKESHORE DR",
"city": "OCOEE",
"state": "FL",
"postal_code": "347612223",
"telephone_number": "407-905-3100",
"fax_number": "407-905-3194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 N LAKESHORE DR",
"city": "OCOEE",
"state": "FL",
"postal_code": "347612223",
"telephone_number": "407-905-3100",
"fax_number": "407-905-3194"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF OCOEE",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-07",
"last_updated": "2023-06-28",
"certification_date": "2023-06-28",
"status": "A",
"authorized_official_last_name": "SMOTHERS",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "FIRE CHIEF",
"authorized_official_telephone_number": "407-905-3140"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "FL",
"license": "3466",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ocoee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; 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.