Basic Information
Provider Information
NPI: 1295875037
EntityType: 2
ReplacementNPI:  
OrganizationName: MILLSBORO FIRE COMPANY INC.
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 363
Address2:  
City: SMYRNA
State: DE
PostalCode: 199770363
CountryCode: US
TelephoneNumber: 3026533557
FaxNumber: 3026533552
Practice Location
Address1: 109 E STATE ST
Address2:  
City: MILLSBORO
State: DE
PostalCode: 199661502
CountryCode: US
TelephoneNumber: 3026533557
FaxNumber: 3026533552
Other Information
ProviderEnumerationDate: 02/08/2007
LastUpdateDate: 11/16/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: BROUGH
AuthorizedOfficialFirstName: SHERRI
AuthorizedOfficialMiddleName: LYNN
AuthorizedOfficialTitleorPosition: ADMINISTRATOR
AuthorizedOfficialTelephone: 3026533557
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: MISS
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
3416L0300XA83DEY Transportation ServicesAmbulanceLand Transport

No ID Information.


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