Organization Name: | SOUTH RIVER EMS INC |
NPI Number: | 1295962819 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | HENRY ROBERT VAN DEBEEK (EMS DIRECTOR) |
Mailing Address: | 6 Thomas St South River |
State: | NJ US |
Postal Code: | 088821241 |
Phone Number: | 7326847307 |
Fax Number: | 7326139095 |
NPI Enumeration Date: | 06/22/2009 |
NPI Last Update Date: | 09/25/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |