Healthcare Provider Details

I. General information

NPI: 1598824112
Provider Name (Legal Business Name): WESTVILLE FIRE DISTRICT NO 1
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23 W OLIVE ST
WESTVILLE NJ
08093-1432
US

IV. Provider business mailing address

PO BOX 1016
VOORHEES NJ
08043-7016
US

V. Phone/Fax

Practice location:
  • Phone: 856-784-3715
  • Fax: 856-784-8557
Mailing address:
  • Phone: 856-784-3715
  • Fax: 856-784-8557

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License NumberWEST00637
License Number StateNJ

VIII. Authorized Official

Name: DINA MUELLER
Title or Position: PRESIDENT
Credential:
Phone: 856-784-3715