Organization Active NPI

Townsend Fire Company

  • Ambulance
  • Townsend, DE
National Provider Identifier
1285613687
Registry record updated Dec 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
1FDLE40F9VHA03462 Issued in DE
Legal business name
TOWNSEND FIRE COMPANY
Practice address
107 Main St
Building D
Townsend, DE 19734-9778
Phone
(302) 283-3300
Fax
(302) 283-3321
NPI assigned
Jan 13, 2006
Last updated
Dec 28, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2012

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

Authorized official

Name
John B Mayes
Title
Credentialing Coordinator
Phone
(302) 283-3300

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 1FDLE40F9VHA03462 DE Primary
Ambulance 341600000X 1FDXE45FLVHA92250 DE

Addresses

Primary practice location

107 Main St
Building D
Townsend, DE 19734-9778

Mailing address

71 Omega Dr
Building D
Newark, DE 19713-2063
Phone (302) 283-3300

Other identifiers 1

IdentifierTypeStateIssuer
0000830315MedicaidDE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031218000531 DE Part B Supplier - Ambulance Service Supplier 0840197604 Practice locations: Townsend, DE

National Provider Directory

National Provider Directory

Locations

107 Main St
Townsend, DE 19734
Phone (302) 378-8111

107 Main St
Bldg D
Townsend, DE 19734

NPI Registry JSON

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356652800000",
    "number": "1285613687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 OMEGA DR",
            "address_2": "BUILDING D",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132063",
            "telephone_number": "302-283-3300",
            "fax_number": "302-283-3321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 MAIN ST",
            "address_2": "BUILDING D",
            "city": "TOWNSEND",
            "state": "DE",
            "postal_code": "197349778",
            "telephone_number": "302-283-3300",
            "fax_number": "302-283-3321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWNSEND FIRE COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-13",
        "last_updated": "2012-12-28",
        "status": "A",
        "authorized_official_last_name": "MAYES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "302-283-3300"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "DE",
            "license": "1FDLE40F9VHA03462",
            "primary": true
        },
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "DE",
            "license": "1FDXE45FLVHA92250",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000830315",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Townsend, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.