# MILLVILLE RESCUE SQUAD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609822246
- **Authorized official:** MR. JOHN REDDEN (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (856) 825-5063

## Contact information

- **Practice address:** 600 CEDAR ST, MILLVILLE, NJ 08332-9415
- **Practice address phone:** (856) 825-5063
- **Practice address fax:** (856) 825-4713
- **Mailing address:** PO BOX 576, MILLVILLE, NJ 08332-0576
- **Mailing address phone:** (856) 825-5063
- **Mailing address fax:** (856) 825-4713

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | MILL00381 | NJ | Yes |

## Other

- **Enumeration date:** 05/25/2006
- **Last updated:** 12/08/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0547429 | AETNA USHC | — |
| 01 | — | 1038939 | HORIZON NJ HEALTH | NJ |
| 01 | — | 22466 | AMERICAID | NJ |
| 01 | — | 239411 | AMERIHEALTH | NJ |
| 01 | — | 590010118 | UNITED HEALTH CARE/ MCR | NJ |
| 05 | — | 6915906 | — | NJ |
| 01 | — | A0567038 | OXFORD | NJ |
| 01 | — | NJ5848 | HEALTHNET | NJ |