MEDICARE: AMERICAN LEGION AMBULANCE STATION 64 INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	341600000X	Ambulance		DE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1548264427
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICAN LEGION AMBULANCE STATION 64 INC

Provider Business Mailing Address
First Line	:	900 SMYRNA CLAYTON BLVD
Second Line	:
City	:	SMYRNA
State	:	DE
Zip	:	19977-0345
Country	:	US
Telephone Number	:	302-653-6465
Fax Number	:	302-653-9342

Provider Business Practice Location Address
First Line	:	900 SMYRNA CLAYTON BLVD
Second Line	:
City	:	SMYRNA
State	:	DE
Zip	:	19977-0345
Country	:	US
Telephone Number	:	302-653-6465
Fax Number	:	302-653-9342

Authorized Official
Title or Position	:	BOARD OF DIRECTOR - TREASURER
Name	:	DAVID CHRISTOPHER SCOTT MANGANELLI
Credential	:
Telephone Number	:	302-653-6465

Provider Enumeration Date	:	06/09/2005
Last Update Date	:	03/05/2025

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Directions to “AMERICAN LEGION AMBULANCE STATION 64 INC ” Practice Location

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