MEDICARE: TOWN OF 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	3416L0300X	Land Ambulance	3946	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	590015349	OTHER	FL	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	A0745	OTHER	FL	BLUE CROSS BLUE SHIELD
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	:	1497801583
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOWN OF PALM BEACH

Provider Business Mailing Address
First Line	:	360 S COUNTY RD
Second Line	:
City	:	PALM BEACH
State	:	FL
Zip	:	33480-6735
Country	:	US
Telephone Number	:	561-838-5420
Fax Number	:	561-838-5408

Provider Business Practice Location Address
First Line	:	300 N COUNTY RD
Second Line	:
City	:	PALM BEACH
State	:	FL
Zip	:	33480-3606
Country	:	US
Telephone Number	:	561-838-5420
Fax Number	:	561-838-5408

Authorized Official
Title or Position	:	DIRECTOR OF PUBLIC SAFETY
Name	:	MR. KIRK BLOUIN
Credential	:
Telephone Number	:	561-838-5420

Provider Enumeration Date	:	01/25/2007
Last Update Date	:	07/16/2015

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Directions to “TOWN OF PALM BEACH ” Practice Location

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