Key Largo Volunteer Ambulance Corp Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

KEY LARGO VOLUNTEER AMBULANCE CORP INC

Practice address

98600 Overseas Hwy
Key Largo, FL 33037

Phone

(305) 451-2766

Fax

(305) 451-1562

NPI assigned

Jul 20, 2005

Last updated

Sep 6, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Holly Hirneisen

Title

Billing Supervisor

Phone

(770) 297-0440

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1639178791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5847",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305040847",
            "telephone_number": "877-288-8561",
            "fax_number": "770-297-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98600 OVERSEAS HWY",
            "city": "KEY LARGO",
            "state": "FL",
            "postal_code": "33037",
            "telephone_number": "305-451-2766",
            "fax_number": "305-451-1562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEY LARGO VOLUNTEER AMBULANCE CORP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-20",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "HIRNEISEN",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "770-297-0440"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114868500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Courtney Judeikis
• Venkatakrishna Katta
• Kella Homes
• Key Largo Fire Rescue and Emergency Medical Services District
• Key Largo Smiles PA (Key Largo Dental Associates)
• Keys Advocacy Center, Inc. (Center for Independent Living of the Keys)
• Keys Internal Medicine PA
• Keys Internal Medicine Physicians
• Keys Island Nurse Corp
• Keys Kids ABA

• Land Ambulance in Key Largo, FL
• Providers in Key Largo, FL by specialty
• Land Ambulance in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.