Healthcare Provider Details

I. General information

NPI: 1225133804
Provider Name (Legal Business Name): HOLLOWAY TERRACE VOLUNTEER FIRE COMPANY NO 1
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2006
Last Update Date: 07/01/2022
Certification Date: 07/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 WEST AVE MANOR BRANCH
NEW CASTLE DE
19720-6200
US

IV. Provider business mailing address

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

V. Phone/Fax

Practice location:
  • Phone: 302-654-2817
  • Fax: 302-654-7809
Mailing address:
  • Phone: 302-456-5725
  • Fax: 888-456-3155

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number3605
License Number StateDE

VIII. Authorized Official

Name: CHARLES EVANS JR.
Title or Position: EMS OFFICER
Credential:
Phone: 302-654-2817