Healthcare Provider Details

I. General information

NPI: 1881674836
Provider Name (Legal Business Name): ROXANA VOLUNTEER FIRE COMPANY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

RR 4 BOX 77C
FRANKFORD DE
19945-9615
US

IV. Provider business mailing address

71 OMEGA DR
NEWARK DE
19713-2063
US

V. Phone/Fax

Practice location:
  • Phone: 302-283-3300
  • Fax: 302-283-3321
Mailing address:
  • Phone: 302-283-3300
  • Fax: 302-283-3321

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code341600000X
TaxonomyAmbulance
License Number1HTMNAAM13H592205
License Number StateDE
# 2
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number1FDWEF34F9YEA71990
License Number StateDE

VIII. Authorized Official

Name: JENIFER LUCEY
Title or Position: BILLING REPRESENTATIVE
Credential:
Phone: 302-283-3300