Provider Demographics
NPI:1770777674
Name:COUNTY OF GLOUCESTER
Entity type:Organization
Organization Name:COUNTY OF GLOUCESTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EMERGIMED BILLING SERVICES/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:D
Authorized Official - Last Name:LOVE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-256-1389
Mailing Address - Street 1:575 WOODBURY GLASSBORO RD
Mailing Address - Street 2:
Mailing Address - City:SEWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:08080-4563
Mailing Address - Country:US
Mailing Address - Phone:856-256-1389
Mailing Address - Fax:856-256-0656
Practice Address - Street 1:575 WOODBURY GLASSBORO RD
Practice Address - Street 2:
Practice Address - City:SEWELL
Practice Address - State:NJ
Practice Address - Zip Code:08080-4563
Practice Address - Country:US
Practice Address - Phone:856-256-1389
Practice Address - Fax:856-256-0656
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GLOUCESTER COUNTY OF NEW JERSEY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-09-04
Last Update Date:2007-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance