Provider Demographics
NPI:1003958471
Name:CITY OF OAKLAND PARK
Entity Type:Organization
Organization Name:CITY OF OAKLAND PARK
Other - Org Name:CITY OF OAKLAND PARK
Other - Org Type:Other Name
Authorized Official - Title/Position:CITY MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:HEBERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-630-4212
Mailing Address - Street 1:PO BOX 935837
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:31193-5837
Mailing Address - Country:US
Mailing Address - Phone:954-630-4250
Mailing Address - Fax:954-630-4265
Practice Address - Street 1:2100 NW 39TH ST
Practice Address - Street 2:
Practice Address - City:OAKLAND PARK
Practice Address - State:FL
Practice Address - Zip Code:33309-6200
Practice Address - Country:US
Practice Address - Phone:954-630-4550
Practice Address - Fax:954-497-4107
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-13
Last Update Date:2021-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL400006400Medicaid
FLA0668Medicare PIN