Provider Demographics
NPI:1417059320
Name:WEST ORANGE HEALTHCARE DISTRICT
Entity Type:Organization
Organization Name:WEST ORANGE HEALTHCARE DISTRICT
Other - Org Name:HEALTH CENTRAL PARAMEDICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SR VP CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:L
Authorized Official - Last Name:CROWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-296-1806
Mailing Address - Street 1:10000 W COLONIAL DRIVE
Mailing Address - Street 2:
Mailing Address - City:OCOEE
Mailing Address - State:FL
Mailing Address - Zip Code:34761-3498
Mailing Address - Country:US
Mailing Address - Phone:407-296-1820
Mailing Address - Fax:407-253-1675
Practice Address - Street 1:2700 OLD WINTER GARDEN ROAD
Practice Address - Street 2:
Practice Address - City:OCOEE
Practice Address - State:FL
Practice Address - Zip Code:34761-2964
Practice Address - Country:US
Practice Address - Phone:407-656-6416
Practice Address - Fax:407-877-9646
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL002553341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
A0190Medicare ID - Type Unspecified