Active NPI
City of Selma
- Land Ambulance
- Selma, CA
National Provider Identifier
1740289263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MTE00203F | Medicaid | CA |
Other names 1
- Selma District Ambulance
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060623000086 | CA | Part B Supplier - Ambulance Service Supplier | 8022020619 | Practice locations: Fresno, CA |
National Provider Directory
National Provider DirectoryLocations
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.