Provider Demographics
NPI:1639152705
Name:DAGSBORO VOLUNTEER FIRE DEPARTMENT INC
Entity Type:Organization
Organization Name:DAGSBORO VOLUNTEER FIRE DEPARTMENT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AMBULANCE LT
Authorized Official - Prefix:MS
Authorized Official - First Name:JILL
Authorized Official - Middle Name:
Authorized Official - Last Name:BRITTINGHAM
Authorized Official - Suffix:
Authorized Official - Credentials:EMT
Authorized Official - Phone:302-732-6151
Mailing Address - Street 1:31818 WAPLES ST
Mailing Address - Street 2:
Mailing Address - City:DAGSBORO
Mailing Address - State:DE
Mailing Address - Zip Code:19939-0128
Mailing Address - Country:US
Mailing Address - Phone:302-732-9673
Mailing Address - Fax:302-732-1091
Practice Address - Street 1:31818 WAPLES ST
Practice Address - Street 2:
Practice Address - City:DAGSBORO
Practice Address - State:DE
Practice Address - Zip Code:19939
Practice Address - Country:US
Practice Address - Phone:302-732-9673
Practice Address - Fax:302-732-1091
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-22
Last Update Date:2012-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE3448341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
590009389OtherRAILROAD MEDICARE
DE287390Medicare PIN