1427089903 NPI number — LENOLA FIRE COMPANY EMERGENCY UNIT INC.

Table of content: (NPI 1427089903)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1427089903 NPI number — LENOLA FIRE COMPANY EMERGENCY UNIT INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LENOLA FIRE COMPANY EMERGENCY UNIT INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1427089903
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/20/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
229 N LENOLA RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MOORESTOWN
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08057-1018
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
856-866-5571
Provider Business Mailing Address Fax Number:
856-235-7839

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
229 N LENOLA RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MOORESTOWN
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08057-1018
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
856-866-5571
Provider Business Practice Location Address Fax Number:
856-235-7839
Provider Enumeration Date:
07/05/2006

Additional Information

Authorized Official

Authorized Official Last Name:
SHEILDS
Authorized Official First Name:
DANIEL
Authorized Official Middle Name:
BRIAN
Authorized Official Title or Position:
CHIEF EMS
Authorized Official Telephone Number:
856-866-5571

Provider Taxonomy Codes

  • Taxonomy code: 341600000X , with the licence number:  LENOLA039 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0021377 , issued by the state of ( NJ ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1174196 . This is a "HORIZON NJ HEALTH" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 2177261000 . This is a "INDEPENDENCE BLUE CROSS" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 2177261000 . This is a "AMERIHEALTH" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 5472374 . This is a "CIGNA" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: A3556058 . This is a "OXFORD HEALTH PLAN" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 91001032100 . This is a "AMERICHOICE" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 37467 . This is a "UNIVERSITY HEALTH PLAN" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: P00070426 . This is a "RR MEDICARE" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 187351 . This is a "AMERIGROUP" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 3218826 . This is a "AETNA HMO" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 7862454 . This is a "AETNA PPO" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".




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