NPIMap

Organization Active NPI

Brandywine Hundred Fire Co. No. 1

  • Land Ambulance
  • Wilmington, DE
National Provider Identifier
1376522359
Registry record updated Oct 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
BRANDYWINE HUNDRED FIRE CO. NO. 1
Practice address
1006 Brandywine Blvd
Wilmington, DE 19809-2530
Phone
(302) 764-4901
Fax
(302) 764-1267
NPI assigned
Jan 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2009

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

Authorized official

Name
Mr. Richard Thomas Perillo
Title
President
Phone
(302) 764-4901

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

1006 Brandywine Blvd
Wilmington, DE 19809-2530

Mailing address

1006 Brandywine Blvd
Wilmington, DE 19809-2530
Phone (302) 764-4901

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100115000032 DE Part B Supplier - Ambulance Service Supplier 3577605401 Practice locations: Wilmington, DE

National Provider Directory

National Provider Directory

Locations

1006 Brandywine Blvd
Wilmington, DE 19809
Phone (302) 764-4901

NPI Registry JSON

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255910400000",
    "number": "1376522359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1006 BRANDYWINE BLVD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198092530",
            "telephone_number": "302-764-4901",
            "fax_number": "302-764-1267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 BRANDYWINE BLVD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198092530",
            "telephone_number": "302-764-4901",
            "fax_number": "302-764-1267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDYWINE HUNDRED FIRE CO. NO. 1",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-10",
        "last_updated": "2009-10-19",
        "status": "A",
        "authorized_official_last_name": "PERILLO",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-764-4901",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.