Organization Active NPI

City of Ocoee

  • Ambulance
  • Ocoee, FL
National Provider Identifier
1487916219
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
3466 Issued in FL
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

Updated by the provider on Jun 28, 2023

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20130221000252 FL Part B Supplier - Ambulance Service Supplier 7618122748 Practice locations: Ocoee, FL

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.