MEDICARE: MINQUAS FIRE CO 1

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	:	1699797639
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MINQUAS FIRE CO 1

Provider Business Mailing Address
First Line	:	PO BOX 3073
Second Line	:
City	:	WILMINGTON
State	:	DE
Zip	:	19804-0073
Country	:	US
Telephone Number	:	302-998-3474
Fax Number	:	302-998-3554

Provider Business Practice Location Address
First Line	:	21 N JAMES ST
Second Line	:
City	:	WILMINGTON
State	:	DE
Zip	:	19804-3120
Country	:	US
Telephone Number	:	302-998-3474
Fax Number	:	302-998-3554

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. CURITS M. CLIFTON
Credential	:
Telephone Number	:	302-998-3474

Provider Enumeration Date	:	07/25/2006
Last Update Date	:	02/28/2012

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Directions to “MINQUAS FIRE CO 1 ” Practice Location

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