Healthcare Provider Details

I. General information

NPI: 1396885554
Provider Name (Legal Business Name): THE GOOD-WILL FIRE COMPANY NO 1 OF NEW CASTLE DELAWARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2007
Last Update Date: 11/19/2024
Certification Date: 11/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 SOUTH ST
HISTORIC NEW CASTLE DE
19720-5056
US

IV. Provider business mailing address

409 PORTER AVE
SCOTTDALE PA
15683-1141
US

V. Phone/Fax

Practice location:
  • Phone: 302-328-2211
  • Fax: 302-328-2216
Mailing address:
  • Phone: 724-887-6822
  • Fax: 724-887-9440

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number3656
License Number StateDE

VIII. Authorized Official

Name: TIM MOORE
Title or Position: CAPTAIN
Credential:
Phone: 302-420-1008