Organization Active NPI

City of Casselberry

  • Land Ambulance
  • Casselberry, FL
National Provider Identifier
1902827256
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
2758 Issued in FL
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20120827000114 FL Part B Supplier - Ambulance Service Supplier 3274780226 Practice locations: Casselberry, FL

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.