MEDICARE: CITY OF POMPANO 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	341600000X	Ambulance	3147	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	590009481	OTHER	FL	R/R MEDICARE PROVIDER

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1891790424
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CITY OF POMPANO BEACH

Provider Business Mailing Address
First Line	:	PO BOX 978597
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75397-8597
Country	:	US
Telephone Number	:	954-786-4510
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 W ATLANTIC BLVD
Second Line	:
City	:	POMPANO BEACH
State	:	FL
Zip	:	33060-6099
Country	:	US
Telephone Number	:	954-786-4510
Fax Number	:

Authorized Official
Title or Position	:	ASSISTANT CHIEF OF EMS
Name	:	FRANK GALGANO
Credential	:
Telephone Number	:	754-224-8457

Provider Enumeration Date	:	06/20/2005
Last Update Date	:	01/14/2021

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Directions to “CITY OF POMPANO BEACH ” Practice Location

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