| Organization Name: | ST JOHNS FIRST AID SQUAD INC |
| NPI Number: | 1942445093 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHARLES COLLINS (PRESIDENT) |
| Mailing Address: | 17 Corrielle St Fords |
| State: | NJ US |
| Postal Code: | 088631908 |
| Phone Number: | 7322415051 |
| Fax Number: | 7327388490 |
| NPI Enumeration Date: | 12/03/2008 |
| NPI Last Update Date: | 01/03/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | S1215052 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |