Organization Active NPI

Board of County Commissioners Palm Beach County

Doing business as Palm Beach County Fire Rescue

  • Ambulance
  • West Palm Beach, FL
National Provider Identifier
1962412072
Registry record updated Apr 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
3285 Issued in FL
Legal business name
BOARD OF COUNTY COMMISSIONERS PALM BEACH COUNTY
Doing business as
Palm Beach County Fire Rescue
Practice address
405 Pike Rd
West Palm Beach, FL 33411-3815
Phone
(561) 616-6930
NPI assigned
Aug 9, 2006
Last updated
Apr 11, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2022

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

Authorized official

Name
Mike Martz
Title
Director of Finance & Planning
Phone
(561) 616-7066

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 3285 FL Primary

Addresses

Primary practice location

405 Pike Rd
West Palm Beach, FL 33411-3815

Mailing address

PO Box 947036
Atlanta, GA 30394-7036

Other identifiers 2

IdentifierTypeStateIssuer
590009392OtherFLRAILROAD PROVIDER ID
400028500MedicaidFL

Other names 1

  • Palm Beach County Fire Rescue Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120806000701 FL Part B Supplier - Ambulance Service Supplier 0345496477 Practice locations: West Palm Beach, FL

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0993447Palm Beach County Fire Rescue405 Pike Rd, West Palm Beach, FL 33411Certificate of waiverNov 14, 2027

National Provider Directory

National Provider Directory
Tax ID family
Palm Beach Cty Fire Res4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

405 Pike Rd
West Palm Beach, FL 33411
Phone (561) 616-6930

50 S Military Trl
Ste 101
West Palm Beach, FL 33415
Phone (561) 233-0010

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649635200000",
    "number": "1962412072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 947036",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303947036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 PIKE RD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334113815",
            "telephone_number": "561-616-6930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOARD OF COUNTY COMMISSIONERS PALM BEACH COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A",
        "authorized_official_last_name": "MARTZ",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE & PLANNING",
        "authorized_official_telephone_number": "561-616-7066"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "FL",
            "license": "3285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD PROVIDER ID",
            "identifier": "590009392",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "400028500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palm Beach County Fire Rescue",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Palm Beach County Fire Rescue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2022; 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.