The Odessa Fire Company

Primary specialty

AmbulanceTaxonomy code 341600000X

License

3542 Issued in DE

Legal business name

THE ODESSA FIRE COMPANY

Practice address

304 Main St
Odessa, DE 19730

Phone

(302) 378-8929

Fax

(302) 378-6072

NPI assigned

Sep 20, 2006

Organization subpart

No

Name

Richard Tincia Sr

Title

Treasurer

Phone

(302) 378-8929

Medicare fee-for-service enrollment

Enrolled in DE

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 26, 2016.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477440000000",
    "number": "1104924893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 41263",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103047263",
            "telephone_number": "800-456-4629",
            "fax_number": "302-224-2848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 MAIN ST",
            "city": "ODESSA",
            "state": "DE",
            "postal_code": "19730",
            "telephone_number": "302-378-8929",
            "fax_number": "302-378-6072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ODESSA FIRE COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2016-10-26",
        "status": "A",
        "authorized_official_last_name": "TINCIA SR",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "302-378-8929"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "DE",
            "license": "3542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000764515",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• State of Delaware
• Elizabeth Jackson Stevenson, RN
• Amy Stubblebine
• Maureen Sullivan
• Miehawa Sumner, M.A./ED.S., NCSP
• Peter Thistle
• Amanda Vaughan, COTA/L
• Shelby Lynne Vincent, PTA
• Geri Elizabeth Wallett, MSS
• Jacie Weaver, ED.S., NCSP

• All providers in Odessa, DE
• Ambulance in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2016; 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.