City of Fort Lauderdale

Primary specialty

AmbulanceTaxonomy code 341600000X

License

3234 Issued in FL

Legal business name

CITY OF FORT LAUDERDALE

Doing business as

City of Fort Lauderdale Fire Rescue

Practice address

528 NW 2ND St
Fort Lauderdale, FL 33311-1162

Phone

(954) 828-6847

NPI assigned

Aug 11, 2006

Organization subpart

No

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

Authorized official

Name

Stephen Gollan

Title

Fire Chief

Phone

(954) 828-6800

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• City of Fort Lauderdale Fire Rescue Doing business as

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": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709769600000",
    "number": "1649281924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31076",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336313076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 NW 2ND ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333111162",
            "telephone_number": "954-828-6847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF FORT LAUDERDALE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A",
        "authorized_official_last_name": "GOLLAN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "954-828-6800"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "FL",
            "license": "3234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD PROVIDER ID",
            "identifier": "590013949",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "400063300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City of Fort Lauderdale Fire Rescue",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "City of Fort Lauderdale Fire Rescue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Frances Sholer Clark Howard, ARNP
• Brittany Clark-Lewis

• Ambulance in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Ambulance in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; 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.