Active NPI
Talleyville Fire Company, Inc.
- Ambulance
- Wilmington, DE
National Provider Identifier
1194820738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 3620
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000559515 | Medicaid | DE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100106000477 | DE | Part B Supplier - Ambulance Service Supplier | 2567503089 | Practice locations: Wilmington, DE |
National Provider Directory
National Provider DirectoryLocations
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.