Organization Active NPI

Minquas Fire Co 1

  • Land Ambulance
  • Wilmington, DE
National Provider Identifier
1699797639
Registry record updated Feb 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
MINQUAS FIRE CO 1
Practice address
21 N James St
Wilmington, DE 19804-3120
Phone
(302) 998-3474
Fax
(302) 998-3554
NPI assigned
Jul 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2012

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

Authorized official

Name
Mr. Curits M. Clifton
Title
President
Phone
(302) 998-3474

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

21 N James St
Wilmington, DE 19804-3120

Mailing address

PO Box 3073
Wilmington, DE 19804-0073
Phone (302) 998-3474

Other identifiers 1

IdentifierTypeStateIssuer
0000595215MedicaidDE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120215000298 DE Part B Supplier - Ambulance Service Supplier 1052579414 Practice locations: Wilmington, DE

National Provider Directory

National Provider Directory

Locations

21 N James St
Wilmington, DE 19804
Phone (302) 998-3474

21 N James St
#1
Wilmington, DE 19804
Phone (302) 998-3474

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330387200000",
    "number": "1699797639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3073",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198040073",
            "telephone_number": "302-998-3474",
            "fax_number": "302-998-3554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 N JAMES ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198043120",
            "telephone_number": "302-998-3474",
            "fax_number": "302-998-3554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINQUAS FIRE CO 1",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2012-02-28",
        "status": "A",
        "authorized_official_last_name": "CLIFTON",
        "authorized_official_first_name": "CURITS",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-998-3474",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000595215",
            "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 Feb 28, 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.