NPIMap

Organization Active NPI

Sussex Post 8 American Legion Georgetown Ambulance Serv

  • Land Ambulance
  • Georgetown, DE
National Provider Identifier
1306986104
Registry record updated Nov 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
A93 B93 Issued in DE
Legal business name
SUSSEX POST 8 AMERICAN LEGION GEORGETOWN AMBULANCE SERV
Practice address
406 N Front St
Georgetown, DE 19947-1134
Phone
(302) 653-3557
Fax
(302) 653-3552
NPI assigned
Feb 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2012

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

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X A93 B93 DE Primary

Addresses

Primary practice location

406 N Front St
Georgetown, DE 19947-1134

Mailing address

PO Box 128
Smyrna, DE 19977-0128
Phone (302) 653-3557

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100106000470 DE Part B Supplier - Ambulance Service Supplier 6103967625 Practice locations: Georgetown, DE

National Provider Directory

National Provider Directory

Locations

406 N Front St
Georgetown, DE 19947

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353974400000",
    "number": "1306986104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 128",
            "city": "SMYRNA",
            "state": "DE",
            "postal_code": "199770128",
            "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": "406 N FRONT ST",
            "city": "GEORGETOWN",
            "state": "DE",
            "postal_code": "199471134",
            "telephone_number": "302-653-3557",
            "fax_number": "302-653-3552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSSEX POST 8 AMERICAN LEGION GEORGETOWN AMBULANCE SERV",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2012-11-27",
        "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": "A93 B93",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.