Organization
CITY OF PLEASANTVILLE
Active
Other names
Pleasantville EMS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEROY BORDEN (FIRE CHIEF)
(609) 484-3667
Entity
Organization
Contact information
Practice address
1 N 1ST ST, PLEASANTVILLE, NJ 08232-2603
(609) 484-3667
(609) 569-1732
Mailing address
1 N 1ST ST, PLEASANTVILLE, NJ 08232-2603
(609) 484-3667
(609) 569-1732
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
NONE
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0684050000
AMERIHEALTH
NJ
01
—
1076644
KEYSTONE MERCY HEALTH PLN
NJ
01
—
20045896
AMERIHEALTH MERCY HLT PLN
NJ
05
—
7661703
—
NJ
01
—
90000580400
AMERICHOICE
NJ
Enumeration date
05/09/2006
Last updated
07/05/2008
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