Active NPI
Gumboro Volunteer Fire Co.
- Basic Emergency Medical Technician
- Millsboro, DE
National Provider Identifier
1609855386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Basic Emergency Medical Technician
- Legal business name
- GUMBORO VOLUNTEER FIRE CO.
- Practice address
- 37030 Millsboro Hwy
Millsboro, DE 19966-3026 - Phone
- (302) 238-7411
- Fax
- (302) 238-7299
- NPI assigned
- Jan 11, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lisa Marie Fisher
- Title
- Ambulance Captain
- Phone
- (302) 745-0836
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Basic Emergency Medical Technician | 146N00000X | DE | Primary |
Addresses
Primary practice location
37030 Millsboro Hwy
Millsboro, DE 19966-3026
Mailing address
37030 Millsboro Hwy
Millsboro, DE 19966-3026
Phone (302) 238-7411
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120824000026 | DE | Part B Supplier - Ambulance Service Supplier | 1456508530 | Practice locations: Milsboro, DE |
National Provider Directory
National Provider DirectoryLocations
37030 Millsboro Hwy
Millsboro, DE 19966
Phone (302) 238-7411
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136937600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1609855386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37030 MILLSBORO HWY",
"city": "MILLSBORO",
"state": "DE",
"postal_code": "199663026",
"telephone_number": "302-238-7411",
"fax_number": "302-238-7299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37030 MILLSBORO HWY",
"city": "MILLSBORO",
"state": "DE",
"postal_code": "199663026",
"telephone_number": "302-238-7411",
"fax_number": "302-238-7299"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GUMBORO VOLUNTEER FIRE CO.",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-11",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "FISHER",
"authorized_official_first_name": "LISA",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "AMBULANCE CAPTAIN",
"authorized_official_telephone_number": "302-745-0836"
},
"taxonomies": [
{
"code": "146N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medical Technician, Basic",
"state": "DE",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Millsboro, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.