MEDICARE: WESTVILLE FIRE DISTRICT NO 1

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416L0300X	Land Ambulance	WEST00637	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1598824112
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WESTVILLE FIRE DISTRICT NO 1

Provider Business Mailing Address
First Line	:	PO BOX 1016
Second Line	:
City	:	VOORHEES
State	:	NJ
Zip	:	08043-7016
Country	:	US
Telephone Number	:	856-784-3715
Fax Number	:	856-784-8557

Provider Business Practice Location Address
First Line	:	23 W OLIVE ST
Second Line	:
City	:	WESTVILLE
State	:	NJ
Zip	:	08093-1432
Country	:	US
Telephone Number	:	856-784-3715
Fax Number	:	856-784-8557

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DINA MUELLER
Credential	:
Telephone Number	:	856-784-3715

Provider Enumeration Date	:	12/08/2006
Last Update Date	:	08/22/2020

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Directions to “WESTVILLE FIRE DISTRICT NO 1 ” Practice Location

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