Organization Active NPI

Minquadale Fire Co Inc

  • Land Ambulance
  • New Castle, DE
National Provider Identifier
1992854459
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
MINQUADALE FIRE CO INC
Practice address
129 E Hazeldell Ave
New Castle, DE 19720-1346
Phone
(302) 652-0986
Fax
(302) 652-4507
NPI assigned
Jan 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

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

Authorized official

Name
Mathew Martin
Title
Chief
Phone
(302) 437-9331

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X DE
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

129 E Hazeldell Ave
New Castle, DE 19720-1346

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
590012114OtherRAILROAD
0000601715MedicaidDE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060224000117 DE Part B Supplier - Ambulance Service Supplier 0345256699 Practice locations: New Castle, DE

National Provider Directory

National Provider Directory

Locations

129 E Hazeldell Ave
New Castle, DE 19720
Phone (302) 652-0986

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725840000000",
    "number": "1992854459",
    "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",
            "fax_number": "724-887-9440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 E HAZELDELL AVE",
            "city": "NEW CASTLE",
            "state": "DE",
            "postal_code": "197201346",
            "telephone_number": "302-652-0986",
            "fax_number": "302-652-4507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINQUADALE FIRE CO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "MATHEW",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "302-437-9331"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "DE",
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "590012114",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000601715",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Castle, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; 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.