Provider Demographics
NPI:1427113364
Name:FIRSTCO, INC
Entity type:Organization
Organization Name:FIRSTCO, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:F
Authorized Official - Last Name:MCCABE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-736-0766
Mailing Address - Street 1:P.O. BOX 418-WOB
Mailing Address - Street 2:
Mailing Address - City:WEST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07052-0418
Mailing Address - Country:US
Mailing Address - Phone:973-736-0766
Mailing Address - Fax:793-736-2073
Practice Address - Street 1:64 STANDISH AVE
Practice Address - Street 2:
Practice Address - City:WEST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07052-5519
Practice Address - Country:US
Practice Address - Phone:973-736-0766
Practice Address - Fax:973-736-2073
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJPERS004543416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ5127602Medicaid
222594Medicare ID - Type Unspecified