Organization Active NPI

City of Hollywood

  • Ambulance
  • Hollywood, FL
National Provider Identifier
1962409912
Registry record updated Dec 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
CITY OF HOLLYWOOD
Practice address
2741 Stirling Rd
Hollywood, FL 33312-6505
Phone
(954) 967-4248
Fax
(954) 967-4253
NPI assigned
Jul 6, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2021

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

Authorized official

Name
Simon Serrao
Title
Training & EMS Assistant Division C
Phone
(954) 921-3451

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary

Addresses

Primary practice location

2741 Stirling Rd
Hollywood, FL 33312-6505

Mailing address

PO Box 947121
Atlanta, GA 30394-7121
Phone (954) 967-4248

Other identifiers 2

IdentifierTypeStateIssuer
088031100MedicaidFL
590098217OtherRAILROAD PROVIDER ID

Other names 1

  • Hollywood Fire Rescue & Beach Safety Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070323000538 FL Part B Supplier - Ambulance Service Supplier 7315041720 Practice locations: Fort Lauderdale, FL

National Provider Directory

National Provider Directory

Locations

2741 Stirling Rd
Ft Lauderdale, FL 33312
Phone (954) 921-3559

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1120608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638748800000",
    "number": "1962409912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 947121",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303947121",
            "telephone_number": "954-967-4248",
            "fax_number": "954-967-4253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2741 STIRLING RD",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "333126505",
            "telephone_number": "954-967-4248",
            "fax_number": "954-967-4253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF HOLLYWOOD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-06",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A",
        "authorized_official_last_name": "SERRAO",
        "authorized_official_first_name": "SIMON",
        "authorized_official_title_or_position": "TRAINING & EMS ASSISTANT DIVISION C",
        "authorized_official_telephone_number": "954-921-3451"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "088031100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD PROVIDER ID",
            "identifier": "590098217",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hollywood Fire Rescue & Beach Safety",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; 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.