Provider Demographics
NPI:1386777340
Name:VILLAGE OF NORTH PALM BEACH
Entity type:Organization
Organization Name:VILLAGE OF NORTH PALM BEACH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SAMIA
Authorized Official - Middle Name:
Authorized Official - Last Name:JANJUA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-841-3354
Mailing Address - Street 1:501 US HIGHWAY 1
Mailing Address - Street 2:
Mailing Address - City:NORTH PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33408-4901
Mailing Address - Country:US
Mailing Address - Phone:561-841-3360
Mailing Address - Fax:561-881-5708
Practice Address - Street 1:501 US HIGHWAY 1
Practice Address - Street 2:
Practice Address - City:NORTH PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33408-4901
Practice Address - Country:US
Practice Address - Phone:561-841-3360
Practice Address - Fax:561-881-5708
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-13
Last Update Date:2011-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3120341600000X
FL33713416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL590012312OtherRAILROAD PROVIDER NUMBER
FL003093600Medicaid
FLA0568OtherMEDICARE PROVIDER ID