Village of North Palm Beach

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

3371 Issued in FL

Legal business name

VILLAGE OF NORTH PALM BEACH

Practice address

501 US Highway 1
North Palm Beach, FL 33408-4901

Phone

(561) 841-3360

Fax

(561) 881-5708

NPI assigned

Mar 13, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Samia Janjua

Title

Finance Director

Phone

(561) 841-3354

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315872000000",
    "number": "1386777340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 US HIGHWAY 1",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334084901",
            "telephone_number": "561-841-3360",
            "fax_number": "561-881-5708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 US HIGHWAY 1",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334084901",
            "telephone_number": "561-841-3360",
            "fax_number": "561-881-5708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE OF NORTH PALM BEACH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2011-09-13",
        "status": "A",
        "authorized_official_last_name": "JANJUA",
        "authorized_official_first_name": "SAMIA",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "561-841-3354"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "FL",
            "license": "3120",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "FL",
            "license": "3371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD PROVIDER NUMBER",
            "identifier": "590012312",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003093600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER ID",
            "identifier": "A0568",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura D Varga, DAOM
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• Aimee E. Wallick

• Land Ambulance in North Palm Beach, FL
• Providers in North Palm Beach, FL by specialty
• Land Ambulance in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.