1023151370 NPI number — LEIPSIC VOLUNTEER FIRE COMPANY INC.

Table of content: (NPI 1023151370)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1023151370 NPI number — LEIPSIC VOLUNTEER FIRE COMPANY INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LEIPSIC VOLUNTEER FIRE COMPANY INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1023151370
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/19/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
100 W. COMMONS BLVD
Provider Second Line Business Mailing Address:
SUITE 210
Provider Business Mailing Address City Name:
NEW CASTLE
Provider Business Mailing Address State Name:
DE
Provider Business Mailing Address Postal Code:
19720-2400
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
302-456-5725
Provider Business Mailing Address Fax Number:
888-456-3155

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
318 MAIN STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LEIPSIC
Provider Business Practice Location Address State Name:
DE
Provider Business Practice Location Address Postal Code:
19901-1707
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
302-674-0829
Provider Business Practice Location Address Fax Number:
302-653-3552
Provider Enumeration Date:
02/15/2007

Additional Information

Authorized Official

Authorized Official Last Name:
MARKER
Authorized Official First Name:
FRANCIS
Authorized Official Middle Name:
J
Authorized Official Title or Position:
CHIEF
Authorized Official Telephone Number:
302-382-9596

Provider Taxonomy Codes

  • Taxonomy code: 3416L0300X , with the licence number:  3727 , registered in the state of DE ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 200056669 , issued by the state of ( DE ) . This identifiers is of the category "MEDICAID".




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