Organization Active NPI

The Good-Will Fire Company No 1 of New Castle Delaware

  • Land Ambulance
  • Historic New Castle, DE
National Provider Identifier
1396885554
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
3656 Issued in DE
Legal business name
THE GOOD-WILL FIRE COMPANY NO 1 OF NEW CASTLE DELAWARE
Practice address
401 South St
Historic New Castle, DE 19720-5056
Phone
(302) 328-2211
Fax
(302) 328-2216
NPI assigned
Feb 7, 2007
Last updated
Nov 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Authorized official

Name
Tim Moore
Title
Captain
Phone
(302) 420-1008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 3656 DE Primary

Addresses

Primary practice location

401 South St
Historic New Castle, DE 19720-5056

Mailing address

409 Porter Ave
Scottdale, PA 15683-1141
Phone (724) 887-6822

Other identifiers 2

IdentifierTypeStateIssuer
590009770OtherDERAILROAD
0000653615MedicaidDE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080307000094 DE Part B Supplier - Ambulance Service Supplier 1456436005 Practice locations: Historic New Castle, DE

National Provider Directory

National Provider Directory
Tax ID family
The Good-Will Fire Co2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

401 South St
Historic New Castle, DE 19720
Phone (302) 328-2211

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731974400000",
    "number": "1396885554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 PORTER AVE",
            "city": "SCOTTDALE",
            "state": "PA",
            "postal_code": "156831141",
            "telephone_number": "724-887-6822",
            "fax_number": "724-887-9440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 SOUTH ST",
            "city": "HISTORIC NEW CASTLE",
            "state": "DE",
            "postal_code": "197205056",
            "telephone_number": "302-328-2211",
            "fax_number": "302-328-2216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GOOD-WILL FIRE COMPANY NO 1 OF NEW CASTLE DELAWARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "CAPTAIN",
        "authorized_official_telephone_number": "302-420-1008"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "DE",
            "license": "3656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "590009770",
            "state": "DE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000653615",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Historic New Castle, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; 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.