Provider Demographics
NPI:1457627986
Name:SIX FLAGS GREAT ADVENTURE LLC
Entity Type:Organization
Organization Name:SIX FLAGS GREAT ADVENTURE LLC
Other - Org Name:SIX FLAGS EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CONSULTANT
Authorized Official - Prefix:
Authorized Official - First Name:CHUCK
Authorized Official - Middle Name:
Authorized Official - Last Name:MCSWEENEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-784-3715
Mailing Address - Street 1:1 SIX FLAGS BLVD
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:NJ
Mailing Address - Zip Code:08527-5369
Mailing Address - Country:US
Mailing Address - Phone:732-928-2000
Mailing Address - Fax:732-928-4083
Practice Address - Street 1:1 SIX FLAGS BLVD
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:NJ
Practice Address - Zip Code:08527-5369
Practice Address - Country:US
Practice Address - Phone:732-928-2000
Practice Address - Fax:732-928-4083
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-29
Last Update Date:2012-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJSIXF005303416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport