MEDICARE: TOWN OF ATLANTIC 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		NC

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

General Provider Information

NPI Number	:	1437106044
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOWN OF ATLANTIC BEACH

Provider Business Mailing Address
First Line	:	PO BOX 10
Second Line	:
City	:	ATLANTIC BEACH
State	:	NC
Zip	:	28512-0010
Country	:	US
Telephone Number	:	252-726-7361
Fax Number	:	252-726-1804

Provider Business Practice Location Address
First Line	:	125 W FORT MACON RD
Second Line	:
City	:	ATLANTIC BEACH
State	:	NC
Zip	:	28512-5301
Country	:	US
Telephone Number	:	252-726-7361
Fax Number	:	252-726-1804

Authorized Official
Title or Position	:	DUPTY CHIEF
Name	:	JOHN CASEY ARTHUR
Credential	:
Telephone Number	:	252-726-7361

Provider Enumeration Date	:	05/28/2006
Last Update Date	:	03/31/2022

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Directions to “TOWN OF ATLANTIC BEACH ” Practice Location

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