Provider Demographics
NPI:1790848232
Name:CITY OF GREENACRES
Entity Type:Organization
Organization Name:CITY OF GREENACRES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACTING FINANCE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TERI
Authorized Official - Middle Name:LEA
Authorized Official - Last Name:BEIRIGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-642-2019
Mailing Address - Street 1:PO BOX 31252
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33631-3252
Mailing Address - Country:US
Mailing Address - Phone:561-642-2000
Mailing Address - Fax:561-642-2037
Practice Address - Street 1:5800 MELALEUCA LN
Practice Address - Street 2:
Practice Address - City:GREENACRES
Practice Address - State:FL
Practice Address - Zip Code:33463-3515
Practice Address - Country:US
Practice Address - Phone:561-642-2000
Practice Address - Fax:561-642-2037
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-18
Last Update Date:2020-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL400009900Medicaid
FLA0550Medicare ID - Type Unspecified