Healthcare Provider Details

I. General information

NPI: 1467427906
Provider Name (Legal Business Name): HOCKESSIN FIRE COMPANY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2006
Last Update Date: 01/23/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1225 OLD LANCASTER PIKE
HOCKESSIN DE
19707-9560
US

IV. Provider business mailing address

71 OMEGA DR BUILDING D
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 TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number1GBE4V1246F404758
License Number StateDE

VIII. Authorized Official

Name: JOHN B MAYES
Title or Position: CREDENTIALING COORDINATOR
Credential:
Phone: 302-283-3300