MEDICARE: VILLAGE OF NORTH PALM 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	3120	FL
2	3416L0300X	Land Ambulance	3371	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	A0568	OTHER	FL	MEDICARE PROVIDER ID

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	590012312	OTHER	FL	RAILROAD PROVIDER NUMBER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1386777340
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VILLAGE OF NORTH PALM BEACH

Provider Business Mailing Address
First Line	:	501 US HIGHWAY 1
Second Line	:
City	:	NORTH PALM BEACH
State	:	FL
Zip	:	33408-4901
Country	:	US
Telephone Number	:	561-841-3360
Fax Number	:	561-881-5708

Provider Business Practice Location Address
First Line	:	501 US HIGHWAY 1
Second Line	:
City	:	NORTH PALM BEACH
State	:	FL
Zip	:	33408-4901
Country	:	US
Telephone Number	:	561-841-3360
Fax Number	:	561-881-5708

Authorized Official
Title or Position	:	FINANCE DIRECTOR
Name	:	SAMIA JANJUA
Credential	:
Telephone Number	:	561-841-3354

Provider Enumeration Date	:	03/13/2007
Last Update Date	:	09/13/2011

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Directions to “VILLAGE OF NORTH PALM BEACH ” Practice Location

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