Provider Demographics
NPI:1215295712
Name:KENDALL PARK FIRST AID & RESCUE SQUAD, INC.
Entity type:Organization
Organization Name:KENDALL PARK FIRST AID & RESCUE SQUAD, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:KENNEDY
Authorized Official - Suffix:
Authorized Official - Credentials:EMT
Authorized Official - Phone:732-422-0173
Mailing Address - Street 1:PO BOX 5097
Mailing Address - Street 2:121 NEW ROAD
Mailing Address - City:KENDALL PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:08824-5097
Mailing Address - Country:US
Mailing Address - Phone:732-297-0621
Mailing Address - Fax:
Practice Address - Street 1:121 NEW ROAD
Practice Address - Street 2:
Practice Address - City:KENDALL PARK
Practice Address - State:NJ
Practice Address - Zip Code:08824
Practice Address - Country:US
Practice Address - Phone:732-297-0621
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-03
Last Update Date:2012-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance