Provider Demographics
NPI:1134738958
Name:PINE HILL FIRE DISTRICT NO 1
Entity type:Organization
Organization Name:PINE HILL FIRE DISTRICT NO 1
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:G
Authorized Official - Last Name:CAMPANELLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-783-8666
Mailing Address - Street 1:1109 ERIAL RD
Mailing Address - Street 2:
Mailing Address - City:PINE HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08021-7303
Mailing Address - Country:US
Mailing Address - Phone:856-783-8666
Mailing Address - Fax:856-258-4161
Practice Address - Street 1:1109 ERIAL RD
Practice Address - Street 2:
Practice Address - City:PINE HILL
Practice Address - State:NJ
Practice Address - Zip Code:08021-7303
Practice Address - Country:US
Practice Address - Phone:856-783-8666
Practice Address - Fax:856-258-4161
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-28
Last Update Date:2020-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance