Organization
MAGNOLIA AMBULANCE CORPS INC
Active
Other names
Magnolia Ambulance Corps
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICK D'AMICO (PRESIDENT)
(856) 784-8089
Entity
Organization
Contact information
Practice address
112 S WARWICK RD, MAGNOLIA, NJ 08049-1338
(856) 784-8089
(856) 784-1218
Mailing address
112 S WARWICK RD, MAGNOLIA, NJ 08049-1338
(856) 784-8089
(856) 784-1218
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
MAGN00334
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0495584000
AMERIHEALTH
NJ
01
—
0973007
AETNA
NJ
01
—
1063559
HORIZON MERCY
NJ
01
—
590012162
RAILROAD MEDICARE
NJ
01
—
63457
AMERIGROUP
NJ
05
—
7480601
—
NJ
Enumeration date
05/14/2007
Last updated
02/17/2022
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