Provider Demographics
NPI:1275664823
Name:CHERRY HILL FIRE DISTRICT 13
Entity Type:Organization
Organization Name:CHERRY HILL FIRE DISTRICT 13
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DAN
Authorized Official - Middle Name:
Authorized Official - Last Name:DIRENZO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-795-9897
Mailing Address - Street 1:PO BOX 1016
Mailing Address - Street 2:
Mailing Address - City:VOORHEES
Mailing Address - State:NJ
Mailing Address - Zip Code:08043-7016
Mailing Address - Country:US
Mailing Address - Phone:856-784-3715
Mailing Address - Fax:
Practice Address - Street 1:301 BURNT MILL RD
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08003-3906
Practice Address - Country:US
Practice Address - Phone:856-795-9897
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJCHEREMS3341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0012149Medicaid
NJ1555709OtherIBC
NJ60001800OtherHORIZON NJ HEALTH
NJ2238727000OtherAMERIHEALTH
NJ3364879OtherAETNA
NJ91001183700OtherAMERICHOICE
NJ2238727000OtherAMERIHEALTH