Provider Demographics
NPI:1669515516
Name:TOWNSHIP OF EGG HARBOR
Entity type:Organization
Organization Name:TOWNSHIP OF EGG HARBOR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:A
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-926-4044
Mailing Address - Street 1:3515 BARGAINTOWN RD
Mailing Address - Street 2:
Mailing Address - City:EGG HARBOR TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:08234-8317
Mailing Address - Country:US
Mailing Address - Phone:609-926-4044
Mailing Address - Fax:
Practice Address - Street 1:3125 FIRE RD
Practice Address - Street 2:
Practice Address - City:EGG HARBOR TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08234-9601
Practice Address - Country:US
Practice Address - Phone:609-383-0003
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJEHT03106341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0041459Medicaid
NJ2264666000OtherINDEPENDENCE BLUE CROSS
NJ2264666000OtherELECTRONIC AMERIHEALTH
NJP00147449OtherMEDICARE RAILROAD
NJ2264666000OtherKEYSTONE
NJ60004051OtherHORIZON NJ HEALTH
NJ91001253300OtherAMERICHOICE NUMBER
NJP00147449OtherMEDICARE RAILROAD
NJ076339Medicare ID - Type UnspecifiedPROVIDER NUMBER