Provider Demographics
NPI:1043342355
Name:HADDON HEIGHTS EMS, INC
Entity Type:Organization
Organization Name:HADDON HEIGHTS EMS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LEAH
Authorized Official - Middle Name:
Authorized Official - Last Name:SLEMMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-546-9575
Mailing Address - Street 1:PO BOX 202
Mailing Address - Street 2:
Mailing Address - City:HADDON HEIGHTS
Mailing Address - State:NJ
Mailing Address - Zip Code:08035-0202
Mailing Address - Country:US
Mailing Address - Phone:856-546-9575
Mailing Address - Fax:
Practice Address - Street 1:1400 KINGS HWY
Practice Address - Street 2:
Practice Address - City:HADDON HEIGHTS
Practice Address - State:NJ
Practice Address - Zip Code:08035-1223
Practice Address - Country:US
Practice Address - Phone:856-546-9575
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHADDON03341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1163370OtherAETNA
NJP00280688OtherRAILROAD MEDICARE
NJ0081311Medicaid
NJ2456094000OtherKEYSTONE
NJ2456094000OtherAMERIHEALTH
NJ095716Medicare ID - Type UnspecifiedPROVIDER NUMBER