Organization Active NPI

Community Outreach Service Center Corp.

  • Non-emergency Medical Transport (VAN)
  • Orlando, FL
National Provider Identifier
1609374206
Registry record updated Jan 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
COMMUNITY OUTREACH SERVICE CENTER CORP.
Practice address
3239 Old Winter Garden Rd Ste 10
Orlando, FL 32805-1122
Phone
(407) 913-4680
Fax
(407) 704-2559
NPI assigned
Jan 29, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2018

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

Authorized official

Name
Monique R. Smith
Title
Director
Phone
(407) 913-4680

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X FL Primary

Addresses

Primary practice location

3239 Old Winter Garden Rd Ste 10
Orlando, FL 32805-1122

Mailing address

2165 S Ivey LN
Orlando, FL 32811-4980
Phone (407) 913-4680

National Provider Directory

National Provider Directory

Locations

3239 Old Winter Garden Rd
Ste 10
Orlando, FL 32805
Phone (407) 913-4680

NPI Registry JSON

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

{
    "created_epoch": "1517184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517184000000",
    "number": "1609374206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2165 S IVEY LN",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328114980",
            "telephone_number": "407-913-4680",
            "fax_number": "407-704-2559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3239 OLD WINTER GARDEN RD STE 10",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328051122",
            "telephone_number": "407-913-4680",
            "fax_number": "407-704-2559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY OUTREACH SERVICE CENTER CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-29",
        "last_updated": "2018-01-29",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MONIQUE",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "407-913-4680"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.