Provider Demographics
NPI:1396756292
Name:MCCABE AMBULANCE SERVICE INC.
Entity type:Organization
Organization Name:MCCABE AMBULANCE SERVICE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:H. MICKEY
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCABE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-858-8001
Mailing Address - Street 1:764 KENNEDY BLVD
Mailing Address - Street 2:
Mailing Address - City:BAYONNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07002-2859
Mailing Address - Country:US
Mailing Address - Phone:201-858-1200
Mailing Address - Fax:201-823-2210
Practice Address - Street 1:764 KENNEDY BLVD
Practice Address - Street 2:
Practice Address - City:BAYONNE
Practice Address - State:NJ
Practice Address - Zip Code:07002-2859
Practice Address - Country:US
Practice Address - Phone:201-858-1200
Practice Address - Fax:201-823-2210
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-10
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8055807Medicaid
NJ205675Medicare ID - Type Unspecified