Provider Demographics
NPI:1568531770
Name:FLEMINGTON-RARITAN FIRST AID & RESCUE SQUAD INC
Entity Type:Organization
Organization Name:FLEMINGTON-RARITAN FIRST AID & RESCUE SQUAD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:LOUIS
Authorized Official - Last Name:JANKOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-782-6103
Mailing Address - Street 1:PO BOX 686
Mailing Address - Street 2:
Mailing Address - City:FLEMINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08822-0686
Mailing Address - Country:US
Mailing Address - Phone:908-782-6103
Mailing Address - Fax:908-782-6626
Practice Address - Street 1:26 STATE ROUTE 12
Practice Address - Street 2:
Practice Address - City:FLEMINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08822-1550
Practice Address - Country:US
Practice Address - Phone:908-479-4921
Practice Address - Fax:908-479-4091
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-06
Last Update Date:2019-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJFLEM00655341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8100306Medicaid
NJ8100306Medicaid