Bethany Beach Volunteer Fire Co. Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

BETHANY BEACH VOLUNTEER FIRE CO. INC

Practice address

215 Hollywood Street
Bethany Beach, DE 19930

Phone

(302) 539-7700

Fax

(302) 539-6514

NPI assigned

Apr 13, 2009

Last updated

May 25, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Philip Brackin

Title

EMS Chief

Phone

(302) 539-7700

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

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

{
    "created_epoch": "1239580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653436800000",
    "number": "1477796050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3348",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293043348",
            "telephone_number": "864-280-7040",
            "fax_number": "864-280-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 HOLLYWOOD STREET",
            "city": "BETHANY BEACH",
            "state": "DE",
            "postal_code": "19930",
            "telephone_number": "302-539-7700",
            "fax_number": "302-539-6514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHANY BEACH VOLUNTEER FIRE CO. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-13",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A",
        "authorized_official_last_name": "BRACKIN",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "EMS CHIEF",
        "authorized_official_telephone_number": "302-539-7700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Land Ambulance in Bethany Beach, DE
• Providers in Bethany Beach, DE by specialty
• Land Ambulance in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; 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.