Healthcare Provider Details

I. General information

NPI: 1285785105
Provider Name (Legal Business Name): CLAYMONT FIRE COMPANY 1
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/16/2007
Last Update Date: 12/13/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3223 PHILADELPHIA PIKE
CLAYMONT DE
19703-3101
US

IV. Provider business mailing address

100 W COMMONS BLVD SUITE 210
NEW CASTLE DE
19720-2400
US

V. Phone/Fax

Practice location:
  • Phone: 302-798-6858
  • Fax:
Mailing address:
  • Phone: 800-697-5147
  • Fax: 888-456-3155

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number3737
License Number StateDE

VIII. Authorized Official

Name: MR. ERIC JOSEPH HALEY
Title or Position: VICE PRESIDENT
Credential: NR.PARAMEDIC
Phone: 302-798-6858