Provider Demographics
NPI:1174657316
Name:WINSLOW EMERGENCY MEDICAL SERVICES FOUNDATION INC
Entity Type:Organization
Organization Name:WINSLOW EMERGENCY MEDICAL SERVICES FOUNDATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:STARR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-567-5500
Mailing Address - Street 1:P. O. BOX 3
Mailing Address - Street 2:
Mailing Address - City:CEDAR BROOK
Mailing Address - State:NJ
Mailing Address - Zip Code:08018
Mailing Address - Country:US
Mailing Address - Phone:856-784-3715
Mailing Address - Fax:
Practice Address - Street 1:2 N ROUTE 73
Practice Address - Street 2:
Practice Address - City:CEDAR BROOK
Practice Address - State:NJ
Practice Address - Zip Code:08018
Practice Address - Country:US
Practice Address - Phone:609-567-5500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-16
Last Update Date:2012-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJWINS00641341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ115806700OtherDEPT OF LABOR
NJ90000540401OtherAMERICHOICE
NJ2014386OtherAETNA
NJ0116747000OtherKEYSTONE
NJ30059OtherHEALTH PARTNERS
NJ45149OtherAMERIGROUP
NJ0116747000OtherAMERIHEALTH
NJP00070526OtherRAILROAD MEDICARE
NJ7756208Medicaid
NJ7756208Medicaid