Organization Active NPI

Talleyville Fire Company, Inc.

  • Ambulance
  • Wilmington, DE
National Provider Identifier
1194820738
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
3620 Issued in DE
Legal business name
TALLEYVILLE FIRE COMPANY, INC.
Practice address
3919 Concord Pike
Wilmington, DE 19803
Phone
(302) 478-1110
Fax
(302) 478-0229
NPI assigned
Sep 14, 2006
Last updated
Nov 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2024

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

Authorized official

Name
Jeffrey P. Miller
Title
President
Phone
(302) 478-1110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 3620 DE Primary

Addresses

Primary practice location

3919 Concord Pike
Wilmington, DE 19803

Mailing address

100 W Commons Blvd Ste 210
New Castle, DE 19720-2419
Phone (800) 697-5147

Other identifiers 1

IdentifierTypeStateIssuer
0000559515MedicaidDE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100106000477 DE Part B Supplier - Ambulance Service Supplier 2567503089 Practice locations: Wilmington, DE

National Provider Directory

National Provider Directory

Locations

3919 Concord Pike
Wilmington, DE 19803
Phone (302) 478-1110

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732665600000",
    "number": "1194820738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W COMMONS BLVD STE 210",
            "city": "NEW CASTLE",
            "state": "DE",
            "postal_code": "197202419",
            "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": "3919 CONCORD PIKE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "19803",
            "telephone_number": "302-478-1110",
            "fax_number": "302-478-0229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TALLEYVILLE FIRE COMPANY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2024-11-27",
        "certification_date": "2020-04-01",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-478-1110"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "DE",
            "license": "3620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000559515",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.