Provider Demographics
NPI:1437539780
Name:SOUTH TOM'S RIVER VOLUNTEER FIRST AID AND RESCUE SQUAD INC
Entity Type:Organization
Organization Name:SOUTH TOM'S RIVER VOLUNTEER FIRST AID AND RESCUE SQUAD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:KROHN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-341-3339
Mailing Address - Street 1:PO BOX 57
Mailing Address - Street 2:
Mailing Address - City:BEACHWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08722-0057
Mailing Address - Country:US
Mailing Address - Phone:732-341-3339
Mailing Address - Fax:
Practice Address - Street 1:401 DOVER RD
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08757-5238
Practice Address - Country:US
Practice Address - Phone:732-341-3339
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-02
Last Update Date:2020-11-24
Deactivation Date:2020-07-15
Deactivation Code:
Reactivation Date:2020-11-24
Provider Licenses
StateLicense IDTaxonomies
NJ15110403416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport