Town of Palm Beach

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

3946 Issued in FL

Legal business name

TOWN OF PALM BEACH

Practice address

300 N County Rd
Palm Beach, FL 33480-3606

Phone

(561) 838-5420

Fax

(561) 838-5408

NPI assigned

Jan 25, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Kirk Blouin

Title

Director of Public Safety

Phone

(561) 838-5420

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Palm Beach Fire Rescue Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437004800000",
    "number": "1497801583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 S COUNTY RD",
            "city": "PALM BEACH",
            "state": "FL",
            "postal_code": "334806735",
            "telephone_number": "561-838-5420",
            "fax_number": "561-838-5408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N COUNTY RD",
            "city": "PALM BEACH",
            "state": "FL",
            "postal_code": "334803606",
            "telephone_number": "561-838-5420",
            "fax_number": "561-838-5408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF PALM BEACH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2015-07-16",
        "status": "A",
        "authorized_official_last_name": "BLOUIN",
        "authorized_official_first_name": "KIRK",
        "authorized_official_title_or_position": "DIRECTOR OF PUBLIC SAFETY",
        "authorized_official_telephone_number": "561-838-5420",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "FL",
            "license": "3946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "A0745",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "400093500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "590015349",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palm Beach Fire Rescue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Richard David Sulman, D.O.
• Elan Tenenbaum
• The Offices of Dr Paul Melchiorre PLLC
• Therapy Now Solutions
• Lawresa Cono Toomey, LCSW
• Daniel H Trachtenberg, D.O.
• Norman Traverse, M.D.
• Bradley Jean Van Hoek, MBA,MA,MS
• David R. Vreeland, M.A.
• Lisa Thorson Wahlestedt, MD

• Land Ambulance in Palm Beach, FL
• Providers in 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 Jul 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.