Provider Demographics
NPI:1164025128
Name:MILLSTONE TWP BD OF FIRE COMMISSIONERS
Entity Type:Organization
Organization Name:MILLSTONE TWP BD OF FIRE COMMISSIONERS
Other - Org Name:MILLSTONE TOWNSHIP FIRE DISTRICT #1
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LIEUTENANT
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MALONEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-259-2560
Mailing Address - Street 1:PO BOX 83
Mailing Address - Street 2:
Mailing Address - City:CLARKSBURG
Mailing Address - State:NJ
Mailing Address - Zip Code:08510-0083
Mailing Address - Country:US
Mailing Address - Phone:609-259-2560
Mailing Address - Fax:
Practice Address - Street 1:461 STAGECOACH RD
Practice Address - Street 2:
Practice Address - City:MILLSTONE TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08510-1406
Practice Address - Country:US
Practice Address - Phone:609-259-2560
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-20
Last Update Date:2021-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1311089OtherDEPARTMENT OF HEALTH