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Contact Information

WOODBURY TLC TRANSPORT, INC
575 WOODBURY GLASSBORO RD
SEWELL, NJ08080-4563
 Phone: 856-256-1390
 Fax: 856-256-0656
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ambulance

341600000X 59 Ambulance Service Provider
Indicates primary specialty

NPI Profile & details for WOODBURY TLC TRANSPORT, INC

NPI # 1063469153
LBN Legal business name WOODBURY TLC TRANSPORT, INC
Authorized official JOEL DAVIDS - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 05/27/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
NJ Medicaid 3295907
NJ Other 35615 AETNA
NJ Other 57259 AMERIGROUP
NJ Other J13285 HEALTHNET
NJ Other 1004473 HORIZON NJ HEALTH
NJ Other 0000129000 IBC GROUP
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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