Provider Demographics
NPI:1427195817
Name:TOWNSHIP OF HAMILTON RESCUE
Entity Type:Organization
Organization Name:TOWNSHIP OF HAMILTON RESCUE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BOB
Authorized Official - Middle Name:
Authorized Official - Last Name:MATTLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-625-1506
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:856-784-8004
Mailing Address - Fax:856-784-8557
Practice Address - Street 1:1400 ROUTE 50
Practice Address - Street 2:
Practice Address - City:MAYS LANDING
Practice Address - State:NJ
Practice Address - Zip Code:08330-2165
Practice Address - Country:US
Practice Address - Phone:606-625-1506
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHAMIL014341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0011959Medicaid
NJ069809Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER