Active NPI
City of Greenacres
- Ambulance
- Greenacres, FL
National Provider Identifier
1790848232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 400009900 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080715000835 | FL | Part B Supplier - Ambulance Service Supplier | 2062585698 | Practice locations: Greenacres, FL |
National Provider Directory
National Provider DirectoryLocations
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.