1558372656 NPI number — CITY OF MARGATE FLORIDA

Table of content: (NPI 1558372656)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1558372656 NPI number — CITY OF MARGATE FLORIDA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CITY OF MARGATE FLORIDA
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:
6
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:
1558372656
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/13/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 947139
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ATLANTA
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
30394-7139
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
800-226-1012
Provider Business Mailing Address Fax Number:
305-591-4660

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1811 BANKS ROAD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MARGATE
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33063-5461
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
954-971-7010
Provider Business Practice Location Address Fax Number:
954-971-5461
Provider Enumeration Date:
08/11/2006

Additional Information

Authorized Official

Authorized Official Last Name:
CURTIS
Authorized Official First Name:
CALE
Authorized Official Middle Name:
Authorized Official Title or Position:
CITY MANAGER
Authorized Official Telephone Number:
954-935-5300

Provider Taxonomy Codes

  • Taxonomy code: 341600000X , with the licence number:  3166 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 341600000X , with the licence number: ALS616 , 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: 089282300 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 590006413 . This is a "RAILROAD PROVIDER ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 590006413 . This is a "RAILROAD" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 089282300 . 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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