Provider Demographics
NPI:1457562076
Name:STRATFORD AMBULANCE ASSOCIATION INC
Entity Type:Organization
Organization Name:STRATFORD AMBULANCE ASSOCIATION INC
Other - Org Name:STRATFORD AMBULANCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAYME
Authorized Official - Middle Name:
Authorized Official - Last Name:MEYERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-784-4466
Mailing Address - Street 1:PO BOX 1016
Mailing Address - Street 2:
Mailing Address - City:VOORHEES
Mailing Address - State:NJ
Mailing Address - Zip Code:08043-9998
Mailing Address - Country:US
Mailing Address - Phone:856-784-8004
Mailing Address - Fax:856-768-2739
Practice Address - Street 1:502 W ATLANTIC AVE
Practice Address - Street 2:
Practice Address - City:STRATFORD
Practice Address - State:NJ
Practice Address - Zip Code:08084-1605
Practice Address - Country:US
Practice Address - Phone:856-784-4466
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-25
Last Update Date:2012-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJSTRA005523416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0521392000OtherAMERIHEALTH
NJ90000536100OtherAMERICHOICE
NJ1063473OtherHORIZON MERCY
NJ0999057OtherAETNA
NJP00128023OtherRAILROAD MEDICARE
NJ36937OtherUNIVERSITY HEALTH PLAN
NJ7493908Medicaid
NJ35510OtherHEALTH PARTNERS
NJ35510OtherHEALTH PARTNERS