Provider Demographics
NPI:1033749783
Name:MEDRESCUE MOBILE HEALTH SERVICES
Entity Type:Organization
Organization Name:MEDRESCUE MOBILE HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:HUMBERTO
Authorized Official - Middle Name:JOEL
Authorized Official - Last Name:CENTURION
Authorized Official - Suffix:
Authorized Official - Credentials:EMT
Authorized Official - Phone:908-296-1198
Mailing Address - Street 1:971 STUYVESANT AVE STE 10
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:NJ
Mailing Address - Zip Code:07083-6907
Mailing Address - Country:US
Mailing Address - Phone:908-296-1198
Mailing Address - Fax:
Practice Address - Street 1:971 STUYVESANT AVE STE 10
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:NJ
Practice Address - Zip Code:07083-6907
Practice Address - Country:US
Practice Address - Phone:908-296-1198
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-22
Last Update Date:2020-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance