City of Kissimmee

Primary specialty

AmbulanceTaxonomy code 341600000X

License

3214 Issued in FL

Legal business name

CITY OF KISSIMMEE

Doing business as

Kissimmee Fire Department

Practice address

101 Church St Ste 200
Kissimmee, FL 34741-5054

Phone

(407) 518-2222

NPI assigned

Oct 4, 2006

Organization subpart

No

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

Authorized official

Name

Jeremy Donovan

Title

Administration Deputy Chief

Phone

(407) 518-2222

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Kissimmee Fire Department 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": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675728000000",
    "number": "1891880605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 917456",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328917456",
            "telephone_number": "407-518-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CHURCH ST STE 200",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347415054",
            "telephone_number": "407-518-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF KISSIMMEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A",
        "authorized_official_last_name": "DONOVAN",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "ADMINISTRATION DEPUTY CHIEF",
        "authorized_official_telephone_number": "407-518-2222"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "FL",
            "license": "3214",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "084438100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590007580",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kissimmee Fire Department",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kissimmee Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ambulance in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Ambulance in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; 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.