Healthcare Provider Details

I. General information

NPI: 1194820738
Provider Name (Legal Business Name): TALLEYVILLE FIRE COMPANY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2006
Last Update Date: 11/27/2024
Certification Date: 04/01/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3919 CONCORD PIKE
WILMINGTON DE
19803
US

IV. Provider business mailing address

100 W COMMONS BLVD STE 210
NEW CASTLE DE
19720-2419
US

V. Phone/Fax

Practice location:
  • Phone: 302-478-1110
  • Fax: 302-478-0229
Mailing address:
  • Phone: 800-697-5147
  • Fax: 888-456-3155

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number3620
License Number StateDE

VIII. Authorized Official

Name: JEFFREY P. MILLER
Title or Position: PRESIDENT
Credential:
Phone: 302-478-1110