Active NPI
City of Hollywood
- Ambulance
- Hollywood, FL
National Provider Identifier
1962409912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 088031100 | Medicaid | FL | |
| 590098217 | Other | RAILROAD PROVIDER ID |
Other names 1
- Hollywood Fire Rescue & Beach Safety
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070323000538 | FL | Part B Supplier - Ambulance Service Supplier | 7315041720 | Practice locations: Fort Lauderdale, FL |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Paramedic
- Fort Lauderdale, FL
- NPI 1881305910
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.