Provider Demographics
NPI:1538490248
Name:MARTINSVILLE RESCUE SQUAD, INC.
Entity type:Organization
Organization Name:MARTINSVILLE RESCUE SQUAD, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CAPTAIN
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:SWARTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-469-1505
Mailing Address - Street 1:PO BOX 296
Mailing Address - Street 2:
Mailing Address - City:MARTINSVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08836-0296
Mailing Address - Country:US
Mailing Address - Phone:732-469-1505
Mailing Address - Fax:732-356-4833
Practice Address - Street 1:1771 WASHINGTON VALLEY RD
Practice Address - Street 2:
Practice Address - City:MARTINSVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08836-2003
Practice Address - Country:US
Practice Address - Phone:732-469-1505
Practice Address - Fax:732-356-4833
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-20
Last Update Date:2010-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport