NPIMap

Organization Active NPI

Laurel Fire Department Inc.

  • Land Ambulance
  • Laurel, DE
National Provider Identifier
1497895163
Registry record updated Dec 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
A-81 B-81 C-81 Issued in DE
Legal business name
LAUREL FIRE DEPARTMENT INC.
Practice address
205 W 10TH St
Laurel, DE 19956-1910
Phone
(302) 653-3557
Fax
(302) 653-3552
NPI assigned
Feb 8, 2007
Last updated
Dec 18, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2012

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

Authorized official

Name
Miss Sherri Lynn Brough
Title
Administrator
Phone
(302) 653-3557

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X A-81 B-81 C-81 DE Primary

Addresses

Primary practice location

205 W 10TH St
Laurel, DE 19956-1910

Mailing address

PO Box 375
Smyrna, DE 19977-0375
Phone (302) 653-3557

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091201000137 DE Part B Supplier - Ambulance Service Supplier 8426197682 Practice locations: Laurel, DE

National Provider Directory

National Provider Directory

Locations

205 W 10th St
Laurel, DE 19956

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355788800000",
    "number": "1497895163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 375",
            "city": "SMYRNA",
            "state": "DE",
            "postal_code": "199770375",
            "telephone_number": "302-653-3557",
            "fax_number": "302-653-3552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 W 10TH ST",
            "city": "LAUREL",
            "state": "DE",
            "postal_code": "199561910",
            "telephone_number": "302-653-3557",
            "fax_number": "302-653-3552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREL FIRE DEPARTMENT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2012-12-18",
        "status": "A",
        "authorized_official_last_name": "BROUGH",
        "authorized_official_first_name": "SHERRI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "302-653-3557",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "DE",
            "license": "A-81 B-81 C-81",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; 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.