Provider Demographics
NPI:1497801583
Name:TOWN OF PALM BEACH
Entity Type:Organization
Organization Name:TOWN OF PALM BEACH
Other - Org Name:PALM BEACH FIRE RESCUE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF PUBLIC SAFETY
Authorized Official - Prefix:MR
Authorized Official - First Name:KIRK
Authorized Official - Middle Name:
Authorized Official - Last Name:BLOUIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-838-5420
Mailing Address - Street 1:360 S COUNTY RD
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33480-6735
Mailing Address - Country:US
Mailing Address - Phone:561-838-5420
Mailing Address - Fax:561-838-5408
Practice Address - Street 1:300 N COUNTY RD
Practice Address - Street 2:
Practice Address - City:PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33480-3606
Practice Address - Country:US
Practice Address - Phone:561-838-5420
Practice Address - Fax:561-838-5408
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-25
Last Update Date:2015-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL39463416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLA0745OtherBLUE CROSS BLUE SHIELD
FL400093500Medicaid
FL590015349OtherMEDICARE RAILROAD
FL400093500Medicaid
FL=========OtherTRICARE CHAMPUS