Provider Demographics
NPI:1386623528
Name:CITY OF UNION CITY POLICE DEPARTMENT EMS
Entity type:Organization
Organization Name:CITY OF UNION CITY POLICE DEPARTMENT EMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:MR
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:KUTCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-348-5721
Mailing Address - Street 1:316 16TH ST
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07087-4306
Mailing Address - Country:US
Mailing Address - Phone:201-348-5818
Mailing Address - Fax:201-348-2190
Practice Address - Street 1:316 16TH ST
Practice Address - Street 2:
Practice Address - City:UNION CITY
Practice Address - State:NJ
Practice Address - Zip Code:07087-4306
Practice Address - Country:US
Practice Address - Phone:201-348-5818
Practice Address - Fax:201-348-2190
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0035386Medicaid
NJ083594Medicare ID - Type Unspecified