1386777340 NPI number — VILLAGE OF NORTH PALM BEACH

Table of content: (NPI 1386777340)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1386777340 NPI number — VILLAGE OF NORTH PALM BEACH

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
VILLAGE OF NORTH PALM BEACH
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1386777340
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/13/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

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

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
501 US HIGHWAY 1
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NORTH PALM BEACH
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33408-4901
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
561-841-3360
Provider Business Practice Location Address Fax Number:
561-881-5708
Provider Enumeration Date:
03/13/2007

Additional Information

Authorized Official

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

Provider Taxonomy Codes

  • Taxonomy code: 341600000X , with the licence number:  3120 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 3416L0300X , with the licence number: 3371 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 590012312 . This is a "RAILROAD PROVIDER NUMBER" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 003093600 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: A0568 . This is a "MEDICARE PROVIDER ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 108206700 . This is a "Florida Medicaid Provider ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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