Organization Active NPI

Pre-Hospital Interventions, Inc.

  • Nurse Practitioner
  • Milford, DE
National Provider Identifier
1497915946
Registry record updated Feb 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
LG-000527 Issued in DE
Legal business name
PRE-HOSPITAL INTERVENTIONS, INC.
Practice address
919 SE 2ND St
Milford, DE 19963-1577
Phone
(302) 363-5839
Fax
(302) 424-7755
NPI assigned
Jun 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2023

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

Authorized official

Name
Mr. William Benjamin Matthews
Title
Director of Operations
Phone
(302) 363-5839

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X LG-000527 DE Primary

Addresses

Primary practice location

919 SE 2ND St
Milford, DE 19963-1577

Mailing address

919 SE 2ND St
Milford, DE 19963-1577
Phone (302) 363-5839

Other names 1

  • Advanced Healing Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, MD, VA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20080918000539 DE Part B Supplier - Clinic/Group Practice 6800963737 Receives reassigned benefits from 5 practitioners
Practice locations: Milford, DE
O20151006003029 MD Part B Supplier - Clinic/Group Practice 6800963737 Receives reassigned benefits from 3 practitioners
Practice locations: Salisbury, MD
O20160108000552 VA Part B Supplier - Clinic/Group Practice 6800963737 Receives reassigned benefits from 1 practitioner
Practice locations: Virginia Beach, VA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675987200000",
    "number": "1497915946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 SE 2ND ST",
            "city": "MILFORD",
            "state": "DE",
            "postal_code": "199631577",
            "telephone_number": "302-363-5839",
            "fax_number": "302-424-7755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 SE 2ND ST",
            "city": "MILFORD",
            "state": "DE",
            "postal_code": "199631577",
            "telephone_number": "302-363-5839",
            "fax_number": "302-424-7755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRE-HOSPITAL INTERVENTIONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-09",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "BENJAMIN",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "302-363-5839",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "DE",
            "license": "LG-000527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Healing",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advanced Healing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Milford, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; 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.