Active NPI
Claymont Fire Company 1
Doing business as Claymont Fire Company
- Land Ambulance
- Claymont, DE
National Provider Identifier
1285785105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 3737
- Legal business name
- CLAYMONT FIRE COMPANY 1
- Doing business as
- Claymont Fire Company
- Practice address
- 3223 Philadelphia Pike
Claymont, DE 19703-3101 - Phone
- (302) 798-6858
- NPI assigned
- Jan 16, 2007
- Last updated
- Dec 13, 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
- Mr. Eric Joseph Haley, NR.PARAMEDIC
- Title
- Vice President
- Phone
- (302) 798-6858
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 3737 | DE | Primary |
Addresses
Primary practice location
3223 Philadelphia Pike
Claymont, DE 19703-3101
Mailing address
100 W Commons Blvd
Suite 210
New Castle, DE 19720-2400
Phone (800) 697-5147
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000537315 | Medicaid | DE |
Other names 1
- Claymont Fire Company
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100216000013 | DE | Part B Supplier - Ambulance Service Supplier | 0941344915 | Practice locations: Claymont, DE |
National Provider Directory
National Provider DirectoryLocations
3223 Philadelphia Pike
Claymont, DE 19703
Phone (302) 798-6858
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1734048000000",
"number": "1285785105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 W COMMONS BLVD",
"address_2": "SUITE 210",
"city": "NEW CASTLE",
"state": "DE",
"postal_code": "197202400",
"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": "3223 PHILADELPHIA PIKE",
"city": "CLAYMONT",
"state": "DE",
"postal_code": "197033101",
"telephone_number": "302-798-6858"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLAYMONT FIRE COMPANY 1",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-16",
"last_updated": "2024-12-13",
"status": "A",
"authorized_official_last_name": "HALEY",
"authorized_official_first_name": "ERIC",
"authorized_official_middle_name": "JOSEPH",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "302-798-6858",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "NR.PARAMEDIC"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "DE",
"license": "3737",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0000537315",
"state": "DE"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Claymont Fire Company",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Claymont, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.