Provider Demographics
NPI:1174514913
Name:FAIRFIELD VOL FIRE CO NO1
Entity type:Organization
Organization Name:FAIRFIELD VOL FIRE CO NO1
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:BATEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-451-3676
Mailing Address - Street 1:PO BOX 66
Mailing Address - Street 2:
Mailing Address - City:BRIDGETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08320-0066
Mailing Address - Country:US
Mailing Address - Phone:800-473-2278
Mailing Address - Fax:
Practice Address - Street 1:43 MAIN STREET
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:NJ
Practice Address - Zip Code:08320
Practice Address - Country:US
Practice Address - Phone:856-451-3676
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-01
Last Update Date:2014-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
1079100OtherKEYSTONE MERCY HMO DPA
240357OtherNJ MEDICARE HGSA
0959952OtherAETNA USHC BLUE BELL HMO
0X00PA7334OtherQUALMED
0X00PA7334OtherACS HEALTH NET HMO MDC
0X00PA7334OtherPHS HEALTH PLAN COMMERCIA
0000240357OtherMEDICARE HGSA
0X00PA7334OtherPHS HEALTH PLAN HMO MDC
7566301OtherUNYSIS NJ MEDICAID
0X00PA7334OtherACS HEALTH NET COMMERCIAL