Provider Demographics
NPI:1194841684
Name:TOWNSHIP OF HILLSIDE FIRE DEPT
Entity Type:Organization
Organization Name:TOWNSHIP OF HILLSIDE FIRE DEPT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:KREZL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-352-1700
Mailing Address - Street 1:395 HOLLYWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:HILLSIDE
Mailing Address - State:NJ
Mailing Address - Zip Code:07205-2713
Mailing Address - Country:US
Mailing Address - Phone:908-352-1700
Mailing Address - Fax:973-921-9511
Practice Address - Street 1:395 HOLLYWOOD AVE
Practice Address - Street 2:
Practice Address - City:HILLSIDE
Practice Address - State:NJ
Practice Address - Zip Code:07205-2713
Practice Address - Country:US
Practice Address - Phone:908-352-1700
Practice Address - Fax:973-921-9511
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHILL00260341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7945906Medicaid
NJ290998Medicare ID - Type UnspecifiedPROVIDER ID