Organization Active NPI

Cranston Heights Fire Co No. 1

  • Ambulance
  • Wilmington, DE
National Provider Identifier
1265538524
Registry record updated Mar 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
3580 Issued in DE
Legal business name
CRANSTON HEIGHTS FIRE CO NO. 1
Practice address
3306 Kirkwood Hwy
Wilmington, DE 19808-6132
Phone
(302) 998-3140
Fax
(302) 995-0954
NPI assigned
Sep 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2012

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

Authorized official

Name
Eric Larson
Title
Amb Capt
Phone
(302) 998-3140

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 3580 DE Primary

Addresses

Primary practice location

3306 Kirkwood Hwy
Wilmington, DE 19808-6132

Mailing address

PO Box 3012
Wilmington, DE 19804-0012
Phone (800) 456-4629

Other identifiers 1

IdentifierTypeStateIssuer
0000571415MedicaidDE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120716000146 DE Part B Supplier - Ambulance Service Supplier 0446416648 Practice locations: Wilmington, DE

National Provider Directory

National Provider Directory

Locations

3306 Kirkwood Hwy
Wilmington, DE 19808
Phone (302) 998-3140

3206 Kirkwood Hwy
Wilmington, DE 19808
Phone (302) 998-3140

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330560000000",
    "number": "1265538524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3012",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198040012",
            "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": "3306 KIRKWOOD HWY",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198086132",
            "telephone_number": "302-998-3140",
            "fax_number": "302-995-0954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRANSTON HEIGHTS FIRE CO NO. 1",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2012-03-01",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "AMB CAPT",
        "authorized_official_telephone_number": "302-998-3140"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "DE",
            "license": "3580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000571415",
            "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 Mar 1, 2012; 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.