Provider Demographics
NPI:1023101946
Name:TOWN OF HARRISON
Entity type:Organization
Organization Name:TOWN OF HARRISON
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FIRE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:G
Authorized Official - Last Name:STAHL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-483-0094
Mailing Address - Street 1:PO BOX 416012
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02241-6012
Mailing Address - Country:US
Mailing Address - Phone:973-483-0094
Mailing Address - Fax:973-484-4247
Practice Address - Street 1:634 SUSSEX ST
Practice Address - Street 2:
Practice Address - City:HARRISON
Practice Address - State:NJ
Practice Address - Zip Code:07029-2214
Practice Address - Country:US
Practice Address - Phone:973-483-0094
Practice Address - Fax:973-484-4247
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2012-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ234616Medicare Oscar/Certification