Provider Demographics
NPI:1427089903
Name:LENOLA FIRE COMPANY EMERGENCY UNIT INC.
Entity type:Organization
Organization Name:LENOLA FIRE COMPANY EMERGENCY UNIT INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EMS
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:BRIAN
Authorized Official - Last Name:SHEILDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-866-5571
Mailing Address - Street 1:229 N LENOLA RD
Mailing Address - Street 2:
Mailing Address - City:MOORESTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08057-1018
Mailing Address - Country:US
Mailing Address - Phone:856-866-5571
Mailing Address - Fax:856-235-7839
Practice Address - Street 1:229 N LENOLA RD
Practice Address - Street 2:
Practice Address - City:MOORESTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08057-1018
Practice Address - Country:US
Practice Address - Phone:856-866-5571
Practice Address - Fax:856-235-7839
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-05
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJLENOLA039341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0021377Medicaid
NJ1174196OtherHORIZON NJ HEALTH
NJ2177261000OtherINDEPENDENCE BLUE CROSS
NJ2177261000OtherAMERIHEALTH
NJ5472374OtherCIGNA
NJA3556058OtherOXFORD HEALTH PLAN
NJ91001032100OtherAMERICHOICE
NJ37467OtherUNIVERSITY HEALTH PLAN
NJP00070426OtherRR MEDICARE
NJ187351OtherAMERIGROUP
NJ3218826OtherAETNA HMO
NJ7862454OtherAETNA PPO
NJ0021377Medicaid
NJ2177261000OtherAMERIHEALTH
NJ5472374OtherCIGNA
NJ=========OtherCAPITOL BC/BS
NJ=========OtherHORIZON
NJ=========OtherHEALTHNET
NJA3556058OtherOXFORD HEALTH PLAN
NJ=========OtherBANKERS LIFE & CASUALTY