Organization
MILLVILLE RESCUE SQUAD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN REDDEN (CHIEF EXECUTIVE OFFICER)
(856) 825-5063
Entity
Organization
Contact information
Practice address
600 CEDAR ST, MILLVILLE, NJ 08332-9415
(856) 825-5063
(856) 825-4713
Mailing address
PO BOX 576, MILLVILLE, NJ 08332-0576
(856) 825-5063
(856) 825-4713
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
MILL00381
NJ
Other
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
Enumeration date
05/25/2006
Last updated
12/08/2009
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