Provider Demographics
NPI:1437255965
Name:CAMDEN-WYOMING FIRE COMPANY INC
Entity Type:Organization
Organization Name:CAMDEN-WYOMING FIRE COMPANY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AMB CAPT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:WOTHERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-697-8671
Mailing Address - Street 1:PO BOX 41263
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10304-7263
Mailing Address - Country:US
Mailing Address - Phone:800-456-4629
Mailing Address - Fax:302-224-2848
Practice Address - Street 1:200 E CAMDEN WYOMING AVE
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:DE
Practice Address - Zip Code:19934-1303
Practice Address - Country:US
Practice Address - Phone:302-697-8671
Practice Address - Fax:302-697-8672
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-15
Last Update Date:2016-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE3553341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE0000650315Medicaid
DE0000650315Medicaid