Provider Demographics
NPI:1285671560
Name:PLAINFIELD RESCUE SQUAD, INC.
Entity Type:Organization
Organization Name:PLAINFIELD RESCUE SQUAD, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:A
Authorized Official - Last Name:PITTENGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-561-3733
Mailing Address - Street 1:PO BOX 883
Mailing Address - Street 2:
Mailing Address - City:SOUTH PLAINFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07080-0883
Mailing Address - Country:US
Mailing Address - Phone:908-561-3733
Mailing Address - Fax:908-561-3733
Practice Address - Street 1:700 W 7TH ST
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07060-2011
Practice Address - Country:US
Practice Address - Phone:908-755-0003
Practice Address - Fax:908-755-0003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7405502Medicaid
NJ7405502Medicaid