St Johns First Aid Squad Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

S1215052 Issued in NJ

Legal business name

ST JOHNS FIRST AID SQUAD INC

Practice address

17 Corrielle St
Fords, NJ 08863-1908

Phone

(732) 241-5051

Fax

(732) 738-8490

NPI assigned

Dec 3, 2008

Last updated

Jan 3, 2013By 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

Charles Collins III

Title

President

Phone

(732) 241-5051

Specialties & licenses 1

Addresses

Other names 1

• ST JOHNS EMS Other name

Locations

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

{
    "created_epoch": "1228262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357171200000",
    "number": "1942445093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 207",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181050207",
            "telephone_number": "484-664-2007",
            "fax_number": "484-664-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 CORRIELLE ST",
            "city": "FORDS",
            "state": "NJ",
            "postal_code": "088631908",
            "telephone_number": "732-241-5051",
            "fax_number": "732-738-8490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JOHNS FIRST AID SQUAD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-03",
        "last_updated": "2013-01-03",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-241-5051",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NJ",
            "license": "S1215052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ST JOHNS EMS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Land Ambulance in Fords, NJ
• Providers in Fords, NJ by specialty
• Land Ambulance in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2013; 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.