Provider Demographics
NPI:1720090491
Name:TOWNSHIP OF BRICK
Entity Type:Organization
Organization Name:TOWNSHIP OF BRICK
Other - Org Name:BRICK TOWNSHIP EMS & RESCUE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BOTTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-451-2038
Mailing Address - Street 1:401 CHAMBERSBRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:BRICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08723-2807
Mailing Address - Country:US
Mailing Address - Phone:732-262-2135
Mailing Address - Fax:732-262-1125
Practice Address - Street 1:401 CHAMBERSBRIDGE RD
Practice Address - Street 2:
Practice Address - City:BRICK
Practice Address - State:NJ
Practice Address - Zip Code:08723-2807
Practice Address - Country:US
Practice Address - Phone:732-262-2135
Practice Address - Fax:732-262-1125
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-12
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJB15110493416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport