# INDIAN MILLS VOLUNTEER FIRE CO NO 1

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

## Provider details

- **NPI number:** 1659732170
- **Authorized official:** MR. WILLIAM GARDNER (BILLING AGENT)
- **Authorized official phone:** (856) 306-6525

## Contact information

- **Practice address:** 48 WILLOW GROVE RD, SHAMONG, NJ 08088-8214
- **Practice address phone:** (609) 268-1114
- **Practice address fax:** (609) 268-6800
- **Mailing address:** 192 A AVE, ATCO, NJ 08004-2434
- **Mailing address phone:** (856) 306-6525
- **Mailing address fax:** (856) 767-3660

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 102809 | NJ | Yes |

## Other

- **Enumeration date:** 03/10/2016
- **Last updated:** 10/24/2016