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Organization

CITY OF VINELAND

Active
Other names
City of Vineland Emergency Medical Services
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ANTHONY ROMEO FANUCCI (MAYOR)
(856) 794-4000
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
VINE00614
NJ

Other

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
Enumeration date
05/27/2006
Last updated
02/13/2023
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