Healthcare Provider Details

I. General information

NPI: 1467559880
Provider Name (Legal Business Name): DELAWARE CITY FIRE COMPANY, NO 1
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 10/18/2024
Certification Date: 10/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

815 FIFTH ST
DELAWARE CITY DE
19706
US

IV. Provider business mailing address

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

V. Phone/Fax

Practice location:
  • Phone: 302-834-9336
  • Fax: 302-836-9126
Mailing address:
  • Phone: 800-697-5147
  • Fax: 888-456-3155

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number3607
License Number StateDE

VIII. Authorized Official

Name: MR. WALDEMAR W POPPE JR.
Title or Position: PRESIDENT
Credential:
Phone: 302-420-2927