Millsboro Fire Company Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

A83 Issued in DE

Legal business name

MILLSBORO FIRE COMPANY INC.

Practice address

109 E State St
Millsboro, DE 19966-1502

Phone

(302) 653-3557

Fax

(302) 653-3552

NPI assigned

Feb 8, 2007

Last updated

Nov 16, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Sherri Lynn Brough

Title

Administrator

Phone

(302) 653-3557

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

Locations

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353024000000",
    "number": "1295875037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 363",
            "city": "SMYRNA",
            "state": "DE",
            "postal_code": "199770363",
            "telephone_number": "302-653-3557",
            "fax_number": "302-653-3552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 E STATE ST",
            "city": "MILLSBORO",
            "state": "DE",
            "postal_code": "199661502",
            "telephone_number": "302-653-3557",
            "fax_number": "302-653-3552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLSBORO FIRE COMPANY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2012-11-16",
        "status": "A",
        "authorized_official_last_name": "BROUGH",
        "authorized_official_first_name": "SHERRI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "302-653-3557",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "DE",
            "license": "A83",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Mentz
• Mid Sussex Rescue Squad Inc.
• Carla N. Miller, FNP
• Maureen Miller
• Millsboro Family Practice, P.a.
• Millsboro Pharmacy Inc
• Amanda Marie Moore, PA-C
• Audrey Lynn Moore, RN
• Anita M Morgan, LMT
• Nicole Mulhern, OTR/L

• Land Ambulance in Millsboro, DE
• Providers in Millsboro, DE by specialty
• Land Ambulance in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.