Healthcare Provider Details

I. General information

NPI: 1326145624
Provider Name (Legal Business Name): FREDERICA VOLUNTEER FIRE COMPANY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 08/17/2023
Certification Date: 06/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 FRONT STREET
FREDERICA DE
19946
US

IV. Provider business mailing address

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

V. Phone/Fax

Practice location:
  • Phone: 302-456-5725
  • Fax: 888-456-3155
Mailing address:
  • Phone: 302-456-5725
  • Fax: 888-456-3155

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number3578
License Number StateDE

VIII. Authorized Official

Name: STEPHEN A WHITE
Title or Position: PRESIDENT
Credential:
Phone: 302-335-3235