# ELMER AMBULANCE CORPS., INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003941691
- **Authorized official:** MR. BRIAN A RAINEY (1ST LEUIT.)
- **Authorized official phone:** (856) 358-6630

## Contact information

- **Practice address:** 30 BROAD ST, ELMER, NJ 08318-2200
- **Practice address phone:** (856) 358-3845
- **Mailing address:** 30 BROAD ST., P.O. BOX 812, ELMER, NJ 08318
- **Mailing address phone:** (856) 358-3845

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | E1711009 | NJ | Yes |

## Other

- **Enumeration date:** 02/22/2007
- **Last updated:** 08/22/2020