Marydel Volunteer Fire Co, Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

MARYDEL VOLUNTEER FIRE CO, INC

Practice address

110 Fire House Lane
Marydel, DE 19964-0400

Phone

(302) 653-3557

Fax

(302) 653-3552

NPI assigned

Oct 22, 2009

Organization subpart

No

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

Authorized official

Name

Mr. John B Mayes

Title

Credentialing Coordinator

Phone

(302) 283-3300

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1256169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352678400000",
    "number": "1497081608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 OMEGA DR",
            "address_2": "BUILDING D",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132063",
            "telephone_number": "302-283-3300",
            "fax_number": "302-283-3321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 FIRE HOUSE LANE",
            "city": "MARYDEL",
            "state": "DE",
            "postal_code": "199640400",
            "telephone_number": "302-653-3557",
            "fax_number": "302-653-3552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYDEL VOLUNTEER FIRE CO, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-22",
        "last_updated": "2012-11-12",
        "status": "A",
        "authorized_official_last_name": "MAYES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "302-283-3300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "DE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Land Ambulance in Marydel, DE
• Providers in Marydel, DE by specialty
• Land Ambulance in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.