Healthcare Provider Details

I. General information

NPI: 1497915946
Provider Name (Legal Business Name): PRE-HOSPITAL INTERVENTIONS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2008
Last Update Date: 02/10/2023
Certification Date: 02/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

919 SE 2ND ST
MILFORD DE
19963-1577
US

IV. Provider business mailing address

919 SE 2ND ST
MILFORD DE
19963-1577
US

V. Phone/Fax

Practice location:
  • Phone: 302-363-5839
  • Fax: 302-424-7755
Mailing address:
  • Phone: 302-363-5839
  • Fax: 302-424-7755

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberLG-000527
License Number StateDE

VIII. Authorized Official

Name: MR. WILLIAM BENJAMIN MATTHEWS
Title or Position: DIRECTOR OF OPERATIONS
Credential:
Phone: 302-363-5839