Mid Sussex Rescue Squad Inc.

Primary specialty

AmbulanceTaxonomy code 341600000X

License

3610 Issued in DE

Legal business name

MID SUSSEX RESCUE SQUAD INC.

Practice address

31738 Indian Mission Rd
Millsboro, DE 19966-4911

Phone

(302) 945-2680

Fax

(302) 945-2845

NPI assigned

Sep 16, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Edward T Kendrick

Title

Accountant/Financial Advisor

Phone

(302) 945-2680

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730937600000",
    "number": "1003912940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W COMMONS BLVD",
            "address_2": "SUITE 210",
            "city": "NEW CASTLE",
            "state": "DE",
            "postal_code": "197202400",
            "telephone_number": "800-697-5147",
            "fax_number": "888-456-3155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31738 INDIAN MISSION RD",
            "city": "MILLSBORO",
            "state": "DE",
            "postal_code": "199664911",
            "telephone_number": "302-945-2680",
            "fax_number": "302-945-2845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID SUSSEX RESCUE SQUAD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2024-11-07",
        "certification_date": "2022-08-25",
        "status": "A",
        "authorized_official_last_name": "KENDRICK",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "ACCOUNTANT/FINANCIAL ADVISOR",
        "authorized_official_telephone_number": "302-945-2680",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "DE",
            "license": "3610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "590002770",
            "state": "DE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000215815",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Millsboro Fire Company Inc.
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• Ambulance in Millsboro, DE
• Providers in Millsboro, DE by specialty
• Ambulance in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.