Healthcare Provider Details

I. General information

NPI: 1447730619
Provider Name (Legal Business Name): GREAT MEADOWS EMERGENCY MEDICAL SERVICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2018
Last Update Date: 11/25/2025
Certification Date: 11/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 REGINA LN
GREAT MEADOWS NJ
07838
US

IV. Provider business mailing address

PO BOX 18537
PLEASANT HILLS PA
15236-0537
US

V. Phone/Fax

Practice location:
  • Phone: 908-637-4477
  • Fax:
Mailing address:
  • Phone: 800-240-6365
  • Fax: 724-615-1448

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State

VIII. Authorized Official

Name: SAMANTHA VAZQUEZ NICHOLLS
Title or Position: TREASURER
Credential:
Phone: 908-627-4477