Healthcare Provider Details

I. General information

NPI: 1013990498
Provider Name (Legal Business Name): EAGLE MEDICAL SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/21/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 PARISH DR
WAYNE NJ
07470-6007
US

IV. Provider business mailing address

20 PARISH DR
WAYNE NJ
07470-6007
US

V. Phone/Fax

Practice location:
  • Phone: 973-694-4400
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License NumberEAGMED029
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License NumberEAGMED029
License Number StateNJ

VIII. Authorized Official

Name: RONALD WELLS
Title or Position: PRESIDENT
Credential:
Phone: 973-694-4400