Healthcare Provider Details

I. General information

NPI: 1811168131
Provider Name (Legal Business Name): MEMORIAL VOLUNTEER FIRE COMPANY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2008
Last Update Date: 10/18/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

359 BAY AVENUE
MILFORD DE
19963-4910
US

IV. Provider business mailing address

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

V. Phone/Fax

Practice location:
  • Phone: 302-422-8888
  • Fax: 302-422-5944
Mailing address:
  • Phone: 302-456-5725
  • Fax: 888-456-3155

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number3781
License Number StateDE
# 2
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State

VIII. Authorized Official

Name: DONALD KENT GLASCO
Title or Position: FIRE CHIEF
Credential:
Phone: 302-542-0012