Provider Demographics
NPI:1760439772
Name:CITY OF VINELAND
Entity Type:Organization
Organization Name:CITY OF VINELAND
Other - Org Name:CITY OF VINELAND EMERGENCY MEDICAL SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MAYOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:ROMEO
Authorized Official - Last Name:FANUCCI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-794-4000
Mailing Address - Street 1:640 E WOOD ST PO BOX 1508
Mailing Address - Street 2:
Mailing Address - City:VINELAND
Mailing Address - State:NJ
Mailing Address - Zip Code:08362-1508
Mailing Address - Country:US
Mailing Address - Phone:856-794-4000
Mailing Address - Fax:
Practice Address - Street 1:640 E WOOD ST
Practice Address - Street 2:
Practice Address - City:VINELAND
Practice Address - State:NJ
Practice Address - Zip Code:08360-3722
Practice Address - Country:US
Practice Address - Phone:856-794-4000
Practice Address - Fax:856-794-1159
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-27
Last Update Date:2023-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJVINE00614341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ144056OtherLIBERTY MUTUAL
NJ0455452000OtherAMERIHEALTH
NJ0002215823OtherHIGHMARK BLUE SHIELD
NJ0455452006OtherKEYSTONE
NJ1038041OtherHORIZON NJ HEALTH
NJ0027752OtherAETNA HEALTH
NJ590007186OtherRAILROAD MEDICARE
NJ2505606Medicaid
NJ86310OtherAMERIGROUP-NJ
NJ90000338200OtherAMERICHOICE
NJOX00NL3125OtherHEALTHNET
NJ1038041OtherHORIZON NJ HEALTH