Provider Demographics
NPI:1780829671
Name:BETHANY BEACH FIRE COMPANY
Entity Type:Organization
Organization Name:BETHANY BEACH FIRE COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:FISHER
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:302-529-7700
Mailing Address - Street 1:215 HOLLYWOOD STREET
Mailing Address - Street 2:
Mailing Address - City:BETHANY BEACH
Mailing Address - State:DE
Mailing Address - Zip Code:19930
Mailing Address - Country:US
Mailing Address - Phone:302-539-7700
Mailing Address - Fax:
Practice Address - Street 1:215 HOLLYWOOD STREET
Practice Address - Street 2:
Practice Address - City:BETHANY BEACH
Practice Address - State:DE
Practice Address - Zip Code:19930
Practice Address - Country:US
Practice Address - Phone:302-539-7700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-08
Last Update Date:2008-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE51-0195736341600000X
341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance