# TOWNSHIP OF LOGAN

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

## Provider details

- **NPI number:** 1982736849
- **Authorized official:** ANDY LOVELL (CHIEF)
- **Authorized official phone:** (856) 241-9100

## Contact information

- **Practice address:** 125 MAIN ST, BRIDGEPORT, NJ 08014
- **Practice address phone:** (856) 241-9100
- **Mailing address:** PO BOX 1016, VOORHEES, NJ 08043-7016
- **Mailing address phone:** (856) 784-3715

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | LOGA002 | NJ | Yes |

## Other

- **Enumeration date:** 03/09/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0722897000 | AMERIHEALTH | NJ |
| 01 | — | 1126280 | HORIZON NJ HEALTH | NJ |
| 01 | — | 2368093 | AETNA | NJ |
| 05 | — | 8356602 | — | NJ |
| 01 | — | 91000095400 | AMERICHOICE | NJ |
| 01 | — | P00079795 | RAILROAD MEDICARE | NJ |