Organization Active NPI

Belvedere Volunteer Fire Co

  • Land Ambulance
  • Wilmington, DE
National Provider Identifier
1710009048
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
BELVEDERE VOLUNTEER FIRE CO
Practice address
1000 Liberty Rd
Wilmington, DE 19804-2814
Phone
(302) 438-2603
Fax
(724) 887-9440
NPI assigned
Apr 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Authorized official

Name
Terrance Clark
Title
Chief
Phone
(302) 438-2603

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

1000 Liberty Rd
Wilmington, DE 19804-2814

Mailing address

409 Porter Ave
Scottdale, PA 15683-1141
Phone (724) 887-6822

Other identifiers 1

IdentifierTypeStateIssuer
200055202MedicaidDE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071207000561 DE Part B Supplier - Ambulance Service Supplier 2668561002 Practice locations: Wilmington, DE

National Provider Directory

National Provider Directory

Locations

1000 Liberty Rd
Wilmington, DE 19804
Phone (302) 438-2603

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739836800000",
    "number": "1710009048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 PORTER AVE",
            "city": "SCOTTDALE",
            "state": "PA",
            "postal_code": "156831141",
            "telephone_number": "724-887-6822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 LIBERTY RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198042814",
            "telephone_number": "302-438-2603",
            "fax_number": "724-887-9440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELVEDERE VOLUNTEER FIRE CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "TERRANCE",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "302-438-2603"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200055202",
            "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 18, 2025; 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.