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NPI Code Detail

MEDICARE: BETHANY BEACH FIRE COMPANY

MEDICARE: BETHANY BEACH 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
1341600000XAmbulance
2341600000XAmbulance51-0195736DE

General Provider Information

NPI Number : 1780829671
Entity Type Code : Organization
Provider Name (Legal Business Name) : BETHANY BEACH FIRE COMPANY
Provider Business Mailing Address
First Line : 215 HOLLYWOOD STREET
Second Line :
City : BETHANY BEACH
State : DE
Zip : 19930
Country : US
Telephone Number : 302-539-7700
Fax Number :
Provider Business Practice Location Address
First Line : 215 HOLLYWOOD STREET
Second Line :
City : BETHANY BEACH
State : DE
Zip : 19930
Country : US
Telephone Number : 302-539-7700
Fax Number :
Authorized Official
Title or Position : SUPERVISOR
Name : JOHN EDWARD FISHER III
Credential :
Telephone Number : 302-529-7700
Provider Enumeration Date : 12/08/2008
Last Update Date : 12/08/2008

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Directions to “BETHANY BEACH FIRE COMPANY ” Practice Location

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