Provider Demographics
NPI:1033769849
Name:BUENA VISTA TOWNSHIP EMERGENCY MEDICAL SERVICES INC.
Entity Type:Organization
Organization Name:BUENA VISTA TOWNSHIP EMERGENCY MEDICAL SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:SOREN
Authorized Official - Middle Name:D
Authorized Official - Last Name:HUDYMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-247-5215
Mailing Address - Street 1:PO BOX 670
Mailing Address - Street 2:
Mailing Address - City:CAPE MAY COURT HOUSE
Mailing Address - State:NJ
Mailing Address - Zip Code:08210-0670
Mailing Address - Country:US
Mailing Address - Phone:609-465-8900
Mailing Address - Fax:609-463-8106
Practice Address - Street 1:4931 E. LANDIS AVE.
Practice Address - Street 2:
Practice Address - City:VINELAND
Practice Address - State:NJ
Practice Address - Zip Code:08360
Practice Address - Country:US
Practice Address - Phone:609-805-7111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-13
Last Update Date:2019-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport