Provider Demographics
NPI:1811629637
Name:SOUTH ESSEX FIRE DEPARTMENT
Entity Type:Organization
Organization Name:SOUTH ESSEX FIRE DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:LOEHNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-762-6500
Mailing Address - Street 1:PO BOX 671
Mailing Address - Street 2:
Mailing Address - City:PITTSTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08867-0671
Mailing Address - Country:US
Mailing Address - Phone:908-479-4921
Mailing Address - Fax:908-479-4091
Practice Address - Street 1:105 DUNNELL RD
Practice Address - Street 2:
Practice Address - City:MAPLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07040-2622
Practice Address - Country:US
Practice Address - Phone:973-762-6500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-29
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport