Provider Demographics
NPI:1497165310
Name:COMMUNITY FIRST MEDICAL TRANSPORTATION, LLC
Entity Type:Organization
Organization Name:COMMUNITY FIRST MEDICAL TRANSPORTATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MORTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-963-2656
Mailing Address - Street 1:510 SYCAMORE TER
Mailing Address - Street 2:
Mailing Address - City:CINNAMINSON
Mailing Address - State:NJ
Mailing Address - Zip Code:08077-3545
Mailing Address - Country:US
Mailing Address - Phone:856-963-4742
Mailing Address - Fax:856-541-8580
Practice Address - Street 1:510 SYCAMORE TER
Practice Address - Street 2:
Practice Address - City:CINNAMINSON
Practice Address - State:NJ
Practice Address - Zip Code:08077-3545
Practice Address - Country:US
Practice Address - Phone:856-963-4742
Practice Address - Fax:856-541-8580
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-30
Last Update Date:2014-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ100670343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ100670OtherNEW JERSEY DOH