Provider Demographics
NPI:1609908938
Name:BARRINGTON AMBULANCE ASSOCIATION
Entity Type:Organization
Organization Name:BARRINGTON AMBULANCE ASSOCIATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-546-6556
Mailing Address - Street 1:PO BOX 1016
Mailing Address - Street 2:
Mailing Address - City:VOORHEES
Mailing Address - State:NJ
Mailing Address - Zip Code:08043-7016
Mailing Address - Country:US
Mailing Address - Phone:856-784-3715
Mailing Address - Fax:
Practice Address - Street 1:201 2ND AVE
Practice Address - Street 2:
Practice Address - City:BARRINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08007-1153
Practice Address - Country:US
Practice Address - Phone:856-546-6556
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-12
Last Update Date:2008-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJBARR00074341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0486894000OtherAMERIHEALTH
NJ0486894000OtherKEYSTONE
NJ7484607Medicaid
NJ90000582100OtherAMERICHOICE
NJ1067580OtherHORIZON NJ HEALTH
NJ1013656OtherAETNA
NJ0486894000OtherAMERIHEALTH
NJ7484607Medicaid
NJ1013656OtherAETNA