Healthcare Provider Details

I. General information

NPI: 1639162613
Provider Name (Legal Business Name): LEWES FIRE DEPARTMENT, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2005
Last Update Date: 12/27/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

347 SAVANNAH RD
LEWES DE
19958-1438
US

IV. Provider business mailing address

PO BOX 225
LEWES DE
19958-0225
US

V. Phone/Fax

Practice location:
  • Phone: 302-645-6556
  • Fax:
Mailing address:
  • Phone: 302-645-6556
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State

VIII. Authorized Official

Name: MR. BRYAN WILLIAM PEPPER
Title or Position: TREASURER
Credential:
Phone: 302-645-6556