MEDICARE: CITY OF SEA ISLE CITY

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	341600000X	Ambulance		NJ

General Provider Information

NPI Number	:	1174024764
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CITY OF SEA ISLE CITY

Provider Business Mailing Address
First Line	:	233 JFK BLVD
Second Line	:
City	:	SEA ISLE CITY
State	:	NJ
Zip	:	08243-1931
Country	:	US
Telephone Number	:	609-263-8686
Fax Number	:

Provider Business Practice Location Address
First Line	:	201 JFK BLVD
Second Line	:
City	:	SEA ISLE CITY
State	:	NJ
Zip	:	08243
Country	:	US
Telephone Number	:	609-263-8686
Fax Number	:

Authorized Official
Title or Position	:	EMS SUPERVISOR
Name	:	KRISTINE LYNCH
Credential	:
Telephone Number	:	609-263-8686

Provider Enumeration Date	:	02/28/2018
Last Update Date	:	05/30/2018

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Directions to “CITY OF SEA ISLE CITY ” Practice Location

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