Organization Active NPI

Wilmington Manor Volunteer Fire Company, Inc.

  • Ambulance
  • New Castle, DE
National Provider Identifier
1437120193
Registry record updated Apr 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
1FDKE30FOSHA81176 Issued in DE
Legal business name
WILMINGTON MANOR VOLUNTEER FIRE COMPANY, INC.
Practice address
301 N Dupont Hwy
New Castle, DE 19720-6433
Phone
(302) 283-3300
Fax
(302) 283-3321
NPI assigned
Jan 31, 2006
Last updated
Apr 20, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2017

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

Authorized official

Name
Mr. Michael S Shaw
Title
President
Phone
(302) 438-5742

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 1FDKE30FOSHA81176 DE Primary
Ambulance 341600000X 1FDWE35F6YHA53997 DE

Addresses

Primary practice location

301 N Dupont Hwy
New Castle, DE 19720-6433

Mailing address

56 W. Main Street
Ste. 305
Chirstiana, DE 19702
Phone (302) 273-2247

Other identifiers 1

IdentifierTypeStateIssuer
0000577515MedicaidDE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100225000716 DE Part B Supplier - Ambulance Service Supplier 8820132087 Practice locations: New Castle, DE

National Provider Directory

National Provider Directory

Locations

301 N DuPont Hwy
New Castle, DE 19720
Phone (302) 328-3209

NPI Registry JSON

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492646400000",
    "number": "1437120193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 W. MAIN STREET",
            "address_2": "STE. 305",
            "city": "CHIRSTIANA",
            "state": "DE",
            "postal_code": "19702",
            "telephone_number": "302-273-2247",
            "fax_number": "302-533-6818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N DUPONT HWY",
            "city": "NEW CASTLE",
            "state": "DE",
            "postal_code": "197206433",
            "telephone_number": "302-283-3300",
            "fax_number": "302-283-3321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILMINGTON MANOR VOLUNTEER FIRE COMPANY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-31",
        "last_updated": "2017-04-20",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-438-5742",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "DE",
            "license": "1FDKE30FOSHA81176",
            "primary": true
        },
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "DE",
            "license": "1FDWE35F6YHA53997",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000577515",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Castle, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2017; 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.