Active NPI
Cranston Heights Fire Co No. 1
- Ambulance
- Wilmington, DE
National Provider Identifier
1265538524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 3580
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000571415 | 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 |
|---|---|---|---|---|
| O20120716000146 | DE | Part B Supplier - Ambulance Service Supplier | 0446416648 | Practice locations: Wilmington, DE |
National Provider Directory
National Provider DirectoryLocations
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.