# CITY OF ELIZABETH

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

## Provider details

- **NPI number:** 1366435745
- **Authorized official:** MRS. LAURA ELLEN BOLLWAGE (SUPERVISOR EMS BILLING)
- **Authorized official phone:** (908) 820-4104

## Contact information

- **Practice address:** 50 WINFIELD SCOTT PLZ RM 101, ELIZABETH, NJ 07201-2408
- **Practice address phone:** (908) 820-4104
- **Practice address fax:** (908) 820-4236
- **Mailing address:** 50 WINFIELD SCOTT PLZ, ROOM G10, ELIZABETH, NJ 07201-2408
- **Mailing address phone:** (908) 820-4098
- **Mailing address fax:** (908) 820-4236

## Taxonomy

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

## Other

- **Enumeration date:** 08/31/2005
- **Last updated:** 01/05/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4044908 | — | NJ |