Organization Active NPI

City of Selma

  • Land Ambulance
  • Selma, CA
National Provider Identifier
1740289263
Registry record updated Apr 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
CITY OF SELMA
Practice address
2861 A St
Selma, CA 93662-2801
Phone
(559) 891-2211
Fax
(559) 896-4300
NPI assigned
Jul 18, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2013

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

Authorized official

Name
Michael Kain
Title
Fire Chief
Phone
(559) 891-2211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

2861 A St
Selma, CA 93662-2801

Mailing address

1710 Tucker St
Selma, CA 93662-3728
Phone (559) 891-2200

Other identifiers 1

IdentifierTypeStateIssuer
MTE00203FMedicaidCA

Other names 1

  • Selma District Ambulance Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060623000086 CA Part B Supplier - Ambulance Service Supplier 8022020619 Practice locations: Fresno, CA

National Provider Directory

National Provider Directory

Locations

2857 A St
Selma, CA 93662
Phone (209) 896-2511

1710 Tucker St
Selma, CA 93662

2861 A St
Selma, CA 93662
Phone (559) 891-2211

NPI Registry JSON

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364947200000",
    "number": "1740289263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 TUCKER ST",
            "city": "SELMA",
            "state": "CA",
            "postal_code": "936623728",
            "telephone_number": "559-891-2200",
            "fax_number": "559-896-1068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2861 A ST",
            "city": "SELMA",
            "state": "CA",
            "postal_code": "936622801",
            "telephone_number": "559-891-2211",
            "fax_number": "559-896-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF SELMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-18",
        "last_updated": "2013-04-03",
        "status": "A",
        "authorized_official_last_name": "KAIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "559-891-2211"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MTE00203F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Selma District Ambulance",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Selma, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2013; 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.