# CITY OF VINELAND

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- **Entity:** Organization
- **Status:** Active
- **Other names:** City of Vineland Emergency Medical Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760439772
- **Authorized official:** MR. ANTHONY ROMEO FANUCCI (MAYOR)
- **Authorized official phone:** (856) 794-4000

## Contact information

- **Practice address:** 640 E WOOD ST, VINELAND, NJ 08360-3722
- **Practice address phone:** (856) 794-4000
- **Practice address fax:** (856) 794-1159
- **Mailing address:** 640 E WOOD ST PO BOX 1508, VINELAND, NJ 08362-1508
- **Mailing address phone:** (856) 794-4000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | VINE00614 | NJ | Yes |

## Other

- **Enumeration date:** 05/27/2006
- **Last updated:** 02/13/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0002215823 | HIGHMARK BLUE SHIELD | NJ |
| 01 | — | 0027752 | AETNA HEALTH | NJ |
| 01 | — | 0455452000 | AMERIHEALTH | NJ |
| 01 | — | 0455452006 | KEYSTONE | NJ |
| 01 | — | 1038041 | HORIZON NJ HEALTH | NJ |
| 01 | — | 144056 | LIBERTY MUTUAL | NJ |
| 05 | — | 2505606 | — | NJ |
| 01 | — | 590007186 | RAILROAD MEDICARE | NJ |
| 01 | — | 86310 | AMERIGROUP-NJ | NJ |
| 01 | — | 90000338200 | AMERICHOICE | NJ |
| 01 | — | OX00NL3125 | HEALTHNET | NJ |