Organization Active NPI

Greenwood Volunteer Fire Company No 1 of Greenwood Delaware

  • Ambulance
  • Greenwood, DE
National Provider Identifier
1316044779
Registry record updated Oct 30, 2009
On this page

Key facts

NPPES NPI Registry
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
Last updated
Oct 30, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2009

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

Authorized official

Name
John Givens
Title
Amb Capt
Phone
(302) 349-4529

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 3554 DE Primary

Addresses

Primary practice location

12611 Sussex Highway
Greenwood, DE 19950

Mailing address

PO Box 3012
Wilmington, DE 19804-0012
Phone (800) 456-4629

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091030000049 DE Part B Supplier - Ambulance Service Supplier 5890832430 Practice locations: Greenwood, DE

National Provider Directory

National Provider Directory

Locations

12611 Fire Hall Ave
Greenwood, DE 19950
Phone (302) 349-4529

NPI Registry JSON

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

{
    "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, DE

Sources for this page

  • 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.