Greenwood Volunteer Fire Company No 1 of Greenwood Delaware

Primary specialty

AmbulanceTaxonomy code 341600000X

License

3554 Issued in DE

Legal business name

GREENWOOD VOLUNTEER FIRE COMPANY NO 1 OF GREENWOOD DELAWARE

Practice address

12611 Sussex Highway
Greenwood, DE 19950

Phone

(302) 349-4529

Fax

(302) 349-9810

NPI assigned

Sep 20, 2006

Organization subpart

No

Name

John Givens

Title

Amb Capt

Phone

(302) 349-4529

Medicare fee-for-service enrollment

Enrolled in DE

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 30, 2009.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256860800000",
    "number": "1316044779",
    "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": "12611 SUSSEX HIGHWAY",
            "city": "GREENWOOD",
            "state": "DE",
            "postal_code": "19950",
            "telephone_number": "302-349-4529",
            "fax_number": "302-349-9810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENWOOD VOLUNTEER FIRE COMPANY NO 1 OF GREENWOOD DELAWARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2009-10-30",
        "status": "A",
        "authorized_official_last_name": "GIVENS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "AMB CAPT",
        "authorized_official_telephone_number": "302-349-4529"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "DE",
            "license": "3554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000663515",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Greenwood, DE
• Ambulance in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2009; 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.