Organization Active NPI

Gumboro Volunteer Fire Co.

  • Basic Emergency Medical Technician
  • Millsboro, DE
National Provider Identifier
1609855386
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Basic Emergency Medical TechnicianTaxonomy code 146N00000X
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

Updated by the provider on Jul 21, 2022

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)CodeLicenseStatePrimary
Basic Emergency Medical TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
O20120824000026 DE Part B Supplier - Ambulance Service Supplier 1456508530 Practice locations: Milsboro, DE

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.