MEDICARE: CITY OF HUNTINGTON BEACH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416L0300X	Land Ambulance

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	590005829	OTHER	CA	RRB
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568467264
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CITY OF HUNTINGTON BEACH

Provider Business Mailing Address
First Line	:	PO BOX 190
Second Line	:
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92648-0190
Country	:	US
Telephone Number	:	714-374-1598
Fax Number	:

Provider Business Practice Location Address
First Line	:	2000 MAIN ST
Second Line	:
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92648-2702
Country	:	US
Telephone Number	:	714-374-1598
Fax Number	:

Authorized Official
Title or Position	:	FIRE CHIEF
Name	:	SCOTT M HABERLE
Credential	:
Telephone Number	:	714-536-5411

Provider Enumeration Date	:	06/17/2005
Last Update Date	:	06/01/2023

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Directions to “CITY OF HUNTINGTON BEACH ” Practice Location

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