Organization
FAIRFIELD VOL FIRE CO NO1
Active
Other names
Fairton Fire Co
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN BATEMAN (CHIEF)
(856) 451-3676
Entity
Organization
Contact information
Practice address
43 MAIN STREET, FAIRFIELD, NJ 08320
(856) 451-3676
Mailing address
PO BOX 66, BRIDGETON, NJ 08320-0066
(800) 473-2278
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000240357
MEDICARE HGSA
—
01
—
0959952
AETNA USHC BLUE BELL HMO
—
01
—
0X00PA7334
QUALMED
—
01
—
1079100
KEYSTONE MERCY HMO DPA
—
01
—
240357
NJ MEDICARE HGSA
—
01
—
7566301
UNYSIS NJ MEDICAID
—
Enumeration date
11/01/2005
Last updated
04/16/2014
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