Provider Demographics
NPI:1942035001
Name:GLENWOOD POCHUCK VOLUNTEER AMBULANCE CORPS INC
Entity type:Organization
Organization Name:GLENWOOD POCHUCK VOLUNTEER AMBULANCE CORPS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATIONS OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:G
Authorized Official - Last Name:DUFFY
Authorized Official - Suffix:
Authorized Official - Credentials:EMT
Authorized Official - Phone:908-998-0911
Mailing Address - Street 1:PO BOX 248
Mailing Address - Street 2:
Mailing Address - City:GLENWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07418-0248
Mailing Address - Country:US
Mailing Address - Phone:908-998-0911
Mailing Address - Fax:
Practice Address - Street 1:1 DREW MOUNTAIN ROAD
Practice Address - Street 2:
Practice Address - City:SUSSEX
Practice Address - State:NJ
Practice Address - Zip Code:07461
Practice Address - Country:US
Practice Address - Phone:973-664-7414
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-06
Last Update Date:2024-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance