Provider Demographics
NPI:1619008265
Name:GLOUCESTER TOWNSHIP EMS ALLIANCE INC
Entity Type:Organization
Organization Name:GLOUCESTER TOWNSHIP EMS ALLIANCE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RAY
Authorized Official - Middle Name:
Authorized Official - Last Name:CURREY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-481-4829
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 1:109 N BLACK HORSE PIKE
Practice Address - Street 2:SUITE 5D
Practice Address - City:BLACKWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08012-3098
Practice Address - Country:US
Practice Address - Phone:856-481-8429
Practice Address - Fax:856-481-4930
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-07
Last Update Date:2012-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJGEB0032341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ590014943OtherRAILROAD MEDICARE
NJ1144886OtherHORIZON NJ HEALTH
NJ2007030000OtherAMERIHEALTH
NJ2007030000OtherKEYSTONE
NJJ19901OtherHEALTHNET
NJ2530700OtherAETNA
NJ8807604Medicaid
NJ91000249300OtherAMERICHOICE
NJ34319OtherHEALTH PARTNERS
NJ046695Medicare ID - Type UnspecifiedPROVIDER NUMBER