MEDICARE: CAMDEN-WYOMING FIRE COMPANY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416L0300X	Land Ambulance

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1437255965
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAMDEN-WYOMING FIRE COMPANY

Provider Business Mailing Address
First Line	:	409 PORTER AVE
Second Line	:
City	:	SCOTTDALE
State	:	PA
Zip	:	15683-1141
Country	:	US
Telephone Number	:	724-887-6822
Fax Number	:	724-887-9440

Provider Business Practice Location Address
First Line	:	200 E CAMDEN WYOMING AVE
Second Line	:
City	:	CAMDEN
State	:	DE
Zip	:	19934-1303
Country	:	US
Telephone Number	:	302-284-4800
Fax Number	:	302-284-9581

Authorized Official
Title or Position	:	ASSISTANT CHIEF
Name	:	CHRISTOPHER CLOUGH
Credential	:
Telephone Number	:	302-745-0798

Provider Enumeration Date	:	09/15/2006
Last Update Date	:	08/07/2024

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