Organization Active NPI

Elsmere Fire Company No. 1

  • Ambulance
  • Wilmington, DE
National Provider Identifier
1497851869
Registry record updated Aug 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
3534 Issued in DE
Legal business name
ELSMERE FIRE COMPANY NO. 1
Practice address
1107 Kirkwood Hwy
Wilmington, DE 19805-2117
Phone
(302) 999-0183
Fax
(302) 999-1721
NPI assigned
Sep 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2009

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

Authorized official

Name
Keith William Bowman
Title
Rep
Phone
(302) 283-3300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 3534 DE Primary

Addresses

Primary practice location

1107 Kirkwood Hwy
Wilmington, DE 19805-2117

Mailing address

71 Omega Dr
Building D
Newark, DE 19713-2063
Phone (302) 283-3300

Other identifiers 1

IdentifierTypeStateIssuer
0000541015MedicaidDE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090818000641 DE Part B Supplier - Ambulance Service Supplier 6709930290 Practice locations: Wilmington, DE

National Provider Directory

National Provider Directory

Locations

1107 Kirkwood Hwy
Wilmington, DE 19805
Phone (302) 999-0183

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250726400000",
    "number": "1497851869",
    "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": "1107 KIRKWOOD HWY",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198052117",
            "telephone_number": "302-999-0183",
            "fax_number": "302-999-1721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELSMERE FIRE COMPANY NO. 1",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2009-08-20",
        "status": "A",
        "authorized_official_last_name": "BOWMAN",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "REP",
        "authorized_official_telephone_number": "302-283-3300"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "DE",
            "license": "3534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000541015",
            "state": "DE"
        }
    ],
    "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 Aug 20, 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.