Healthcare Provider Details

I. General information

NPI: 1497748339
Provider Name (Legal Business Name): CHESWOLD VOLUNTEER FIRE COMPANY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

371 MAIN ST.
CHESWOLD DE
19936-0186
US

IV. Provider business mailing address

PO BOX 186
CHESWOLD DE
19936-0186
US

V. Phone/Fax

Practice location:
  • Phone: 302-736-1516
  • Fax: 302-736-6237
Mailing address:
  • Phone: 302-736-1516
  • Fax: 302-736-6237

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number3224
License Number StateDE

VIII. Authorized Official

Name: MR. GEORGE J. PYOTT JR.
Title or Position: TREASURER
Credential:
Phone: 302-736-1516