Healthcare Provider Details

I. General information

NPI: 1609908938
Provider Name (Legal Business Name): BARRINGTON AMBULANCE ASSOCIATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2007
Last Update Date: 04/23/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 2ND AVE
BARRINGTON NJ
08007-1153
US

IV. Provider business mailing address

PO BOX 1016
VOORHEES NJ
08043-7016
US

V. Phone/Fax

Practice location:
  • Phone: 856-546-6556
  • Fax:
Mailing address:
  • Phone: 856-784-3715
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License NumberBARR00074
License Number StateNJ

VIII. Authorized Official

Name: BARBARA WILSON
Title or Position: CHIEF
Credential:
Phone: 856-546-6556