Active NPI
City of Casselberry
- Land Ambulance
- Casselberry, FL
National Provider Identifier
1902827256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 2758
- Legal business name
- CITY OF CASSELBERRY
- Practice address
- 95 Triplet Lake Dr
Casselberry, FL 32707-3252 - Phone
- (407) 262-7700
- Fax
- (407) 262-7762
- NPI assigned
- Jul 22, 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
- Mr. Jeffrey S Dreier
- Title
- Director of Finance
- Phone
- (407) 262-7700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 2758 | FL | Primary |
Addresses
Primary practice location
95 Triplet Lake Dr
Casselberry, FL 32707-3252
Mailing address
95 Triplet Lake Dr
Casselberry, FL 32707-3252
Phone (407) 262-7700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120827000114 | FL | Part B Supplier - Ambulance Service Supplier | 3274780226 | Practice locations: Casselberry, FL |
National Provider Directory
National Provider DirectoryLocations
95 Triplet Lake Dr
Casselberry, FL 32707
Phone (407) 262-7700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153526400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1902827256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95 TRIPLET LAKE DR",
"city": "CASSELBERRY",
"state": "FL",
"postal_code": "327073252",
"telephone_number": "407-262-7700",
"fax_number": "407-262-7762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 TRIPLET LAKE DR",
"city": "CASSELBERRY",
"state": "FL",
"postal_code": "327073252",
"telephone_number": "407-262-7700",
"fax_number": "407-262-7762"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF CASSELBERRY",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-22",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DREIER",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "DIRECTOR OF FINANCE",
"authorized_official_telephone_number": "407-262-7700",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "FL",
"license": "2758",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Casselberry, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.