Provider Demographics
NPI:1477653319
Name:CITY OF NORTH WILDWOOD
Entity Type:Organization
Organization Name:CITY OF NORTH WILDWOOD
Other - Org Name:NORTH WILDWOOD FIRE DEPT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:EVANGELISTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-522-5743
Mailing Address - Street 1:400 NEW JERSEY AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH WILDWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08260-2917
Mailing Address - Country:US
Mailing Address - Phone:609-522-5743
Mailing Address - Fax:609-729-0722
Practice Address - Street 1:400 NEW JERSEY AVE
Practice Address - Street 2:
Practice Address - City:NORTH WILDWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08260-2917
Practice Address - Country:US
Practice Address - Phone:609-522-5743
Practice Address - Fax:609-729-0722
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-22
Last Update Date:2008-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJNONE341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1051359OtherKEYSTONE MERCY HEALTH PLN
NJ6735207OtherAMERIGROUP
NJ0822149000OtherAMERIHEALTH
NJ0532402OtherUS HEALTHCARE
NJ1051359OtherHORIZON MERCY
NJNL2054OtherHEALTHNET
NJ21177OtherSENIOR PARTNERS
NJ90000596900OtherAMERICHOICE
NJ6735207Medicaid
NJ0822149000OtherAMERIHEALTH ADMINISTRATOR
NJ21177OtherHEALTH PARTNERS TN
NJ0532402OtherUS HEALTHCARE
NJ0822149000OtherAMERIHEALTH ADMINISTRATOR
NJ=========OtherCIGNA
NJ=========OtherUNITED HEALTHCARE
NJ6735207Medicaid
NJ21177OtherHEALTH PARTNERS TN
NJ90000596900OtherAMERICHOICE
NJNL2054OtherHEALTHNET