Provider Demographics
NPI:1376700666
Name:FRANKLIN-SOMERSET FIRST AID SQUAD, INC.
Entity Type:Organization
Organization Name:FRANKLIN-SOMERSET FIRST AID SQUAD, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AMBULANCE BILLING CO., LLC
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:M
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-479-4921
Mailing Address - Street 1:PO BOX 671
Mailing Address - Street 2:
Mailing Address - City:PITTSTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08867-0671
Mailing Address - Country:US
Mailing Address - Phone:908-479-4921
Mailing Address - Fax:908-479-4091
Practice Address - Street 1:179 GIRARD AVE
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873-3007
Practice Address - Country:US
Practice Address - Phone:908-479-4921
Practice Address - Fax:908-479-4091
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-22
Last Update Date:2013-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJF1811012341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0197688Medicaid
152585Medicare PIN