Indian Mills Volunteer Fire Co No 1

Primary specialty

AmbulanceTaxonomy code 341600000X

License

102809 Issued in NJ

Legal business name

INDIAN MILLS VOLUNTEER FIRE CO NO 1

Practice address

48 Willow Grove Rd
Shamong, NJ 08088-8214

Phone

(609) 268-1114

Fax

(609) 268-6800

NPI assigned

Mar 10, 2016

Last updated

Oct 24, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. William Gardner

Title

Billing Agent

Phone

(856) 306-6525

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1457568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477267200000",
    "number": "1659732170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "192 A AVE",
            "city": "ATCO",
            "state": "NJ",
            "postal_code": "080042434",
            "telephone_number": "856-306-6525",
            "fax_number": "856-767-3660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 WILLOW GROVE RD",
            "city": "SHAMONG",
            "state": "NJ",
            "postal_code": "080888214",
            "telephone_number": "609-268-1114",
            "fax_number": "609-268-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIAN MILLS VOLUNTEER FIRE CO NO 1",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-10",
        "last_updated": "2016-10-24",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "BILLING AGENT",
        "authorized_official_telephone_number": "856-306-6525",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NJ",
            "license": "102809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Fox, PTA
• Megan Gardner, PT, MSPT, MHA, CLT
• Dana Marie Gibilisco, LPC
• Samuel Lee Hayes III
• Amanda Marie Heritage, D.P.T.
• Intimacy Institute LLC (BestSelfCouples)
• Kathleen Anne Lee, LPC, LCADC
• Lenape Regional High School District
• Martin Minds LLC
• Amanda Mercado, BCBA

• Ambulance in Shamong, NJ
• Providers in Shamong, NJ by specialty
• Ambulance in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.