MEDICARE: CITY OF UNION CITY POLICE DEPARTMENT EMS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416L0300X	Land Ambulance		NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1386623528
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CITY OF UNION CITY POLICE DEPARTMENT EMS

Provider Business Mailing Address
First Line	:	316 16TH ST
Second Line	:
City	:	UNION CITY
State	:	NJ
Zip	:	07087-4306
Country	:	US
Telephone Number	:	201-348-5818
Fax Number	:	201-348-2190

Provider Business Practice Location Address
First Line	:	316 16TH ST
Second Line	:
City	:	UNION CITY
State	:	NJ
Zip	:	07087-4306
Country	:	US
Telephone Number	:	201-348-5818
Fax Number	:	201-348-2190

Authorized Official
Title or Position	:	TREASURER
Name	:	MR. DOUGLAS KUTCH
Credential	:
Telephone Number	:	201-348-5721

Provider Enumeration Date	:	01/16/2006
Last Update Date	:	08/22/2020

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Directions to “CITY OF UNION CITY POLICE DEPARTMENT EMS ” Practice Location

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