Provider Demographics
NPI:1053370411
Name:CITY OF LONG BEACH
Entity type:Organization
Organization Name:CITY OF LONG BEACH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE COMMISSIONER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-431-2434
Mailing Address - Street 1:PO BOX 2533
Mailing Address - Street 2:
Mailing Address - City:HICKSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11802-2533
Mailing Address - Country:US
Mailing Address - Phone:800-927-5845
Mailing Address - Fax:315-635-3289
Practice Address - Street 1:1 W CHESTER ST
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:NY
Practice Address - Zip Code:11561-2016
Practice Address - Country:US
Practice Address - Phone:516-431-2434
Practice Address - Fax:516-431-1432
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-22
Last Update Date:2024-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY10265341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01390963Medicaid
590014667OtherRR MEDICARE
9638291OtherGHI
590014667OtherRR MEDICARE