Provider Demographics
NPI:1558391722
Name:TOWNSHIP OF MIDDLE
Entity Type:Organization
Organization Name:TOWNSHIP OF MIDDLE
Other - Org Name:TWP. OF MIDDLE EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER / CLERK
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:ALEXIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-465-8732
Mailing Address - Street 1:33 MECHANIC ST
Mailing Address - Street 2:PO BOX 476
Mailing Address - City:CAPE MAY COURT HOUSE
Mailing Address - State:NJ
Mailing Address - Zip Code:08210-2221
Mailing Address - Country:US
Mailing Address - Phone:609-465-8732
Mailing Address - Fax:609-465-6772
Practice Address - Street 1:202 S MAIN ST
Practice Address - Street 2:
Practice Address - City:CAPE MAY COURT HOUSE
Practice Address - State:NJ
Practice Address - Zip Code:08210-2273
Practice Address - Country:US
Practice Address - Phone:609-465-8732
Practice Address - Fax:609-465-6772
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-04
Last Update Date:2008-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJTWPMD4058341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJJ36663OtherHEALTHNET
NJP00227716OtherRAILROAD MEDICARE
NJ2410950000OtherAMERIHEALTH
NJ91001789100OtherAMERICHOICE
NJ0072885Medicaid
NJ60016307OtherHORIZON MERCY HEALTH PLAN
NJ30028040OtherKEYSTONE MERCY HEALTH PLN
NJ=========001OtherTRICARE / CHAMPUS
NJ91001789100OtherAMERICHOICE
NJ=========OtherFEDERAL BLUE SHIELD
NJ2410950000OtherAMERIHEALTH
NJ=========OtherHORIZON BLUE SHIELD
NJP00227716OtherRAILROAD MEDICARE
NJ60016307OtherHORIZON MERCY HEALTH PLAN
NJ=========001OtherTRICARE / CHAMPUS