Organization
MAGNOLIA AMBULANCE CORPS INC
Active
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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