Active NPI
Hartly Volunteer Fire Company
- Land Ambulance
- Hartly, DE
National Provider Identifier
1912047697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 3654
- Legal business name
- HARTLY VOLUNTEER FIRE COMPANY
- Practice address
- 2898 Arthursville Rd
Hartly, DE 19953-0000 - Phone
- (302) 653-3557
- Fax
- (302) 653-3552
- NPI assigned
- Feb 8, 2007
- 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
- Miss Sherri Lynn Brough
- Title
- Administrator
- Phone
- (302) 653-3557
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 3654 | DE | Primary |
Addresses
Primary practice location
2898 Arthursville Rd
Hartly, DE 19953-0000
Mailing address
PO Box 304
Smyrna, DE 19977-0304
Phone (302) 653-3557
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111221000078 | DE | Part B Supplier - Ambulance Service Supplier | 0749456812 | Practice locations: Hartly, DE |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1322524800000",
"number": "1912047697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 304",
"city": "SMYRNA",
"state": "DE",
"postal_code": "199770304",
"telephone_number": "302-653-3557",
"fax_number": "302-653-3552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2898 ARTHURSVILLE RD",
"city": "HARTLY",
"state": "DE",
"postal_code": "199530000",
"telephone_number": "302-653-3557",
"fax_number": "302-653-3552"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HARTLY VOLUNTEER FIRE COMPANY",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-08",
"last_updated": "2011-11-29",
"status": "A",
"authorized_official_last_name": "BROUGH",
"authorized_official_first_name": "SHERRI",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "302-653-3557",
"authorized_official_name_prefix": "Miss"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "DE",
"license": "3654",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hartly, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2011; 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.