Organization Active NPI

City of Greenacres

  • Ambulance
  • Greenacres, FL
National Provider Identifier
1790848232
Registry record updated May 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
CITY OF GREENACRES
Practice address
5800 Melaleuca LN
Greenacres, FL 33463-3515
Phone
(561) 642-2000
Fax
(561) 642-2037
NPI assigned
Dec 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2020

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

Authorized official

Name
Teri Lea Beiriger
Title
Acting Finance Director
Phone
(561) 642-2019

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X FL Primary

Addresses

Primary practice location

5800 Melaleuca LN
Greenacres, FL 33463-3515

Mailing address

PO Box 31252
Tampa, FL 33631-3252
Phone (561) 642-2000

Other identifiers 1

IdentifierTypeStateIssuer
400009900MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080715000835 FL Part B Supplier - Ambulance Service Supplier 2062585698 Practice locations: Greenacres, FL

National Provider Directory

National Provider Directory

Locations

5985 10th Ave N
Greenacres, FL 33463

5800 Melaleuca Ln
Greenacres, FL 33463
Phone (561) 642-2000

2995 S Jog Rd
Greenacres, FL 33467
Phone (561) 642-2148

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590624000000",
    "number": "1790848232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31252",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336313252",
            "telephone_number": "561-642-2000",
            "fax_number": "561-642-2037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 MELALEUCA LN",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334633515",
            "telephone_number": "561-642-2000",
            "fax_number": "561-642-2037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF GREENACRES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A",
        "authorized_official_last_name": "BEIRIGER",
        "authorized_official_first_name": "TERI",
        "authorized_official_middle_name": "LEA",
        "authorized_official_title_or_position": "ACTING FINANCE DIRECTOR",
        "authorized_official_telephone_number": "561-642-2019"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "400009900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenacres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2020; 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.