Provider Demographics
NPI:1699797639
Name:MINQUAS FIRE CO 1
Entity type:Organization
Organization Name:MINQUAS FIRE CO 1
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CURITS
Authorized Official - Middle Name:M
Authorized Official - Last Name:CLIFTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-998-3474
Mailing Address - Street 1:PO BOX 3073
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19804-0073
Mailing Address - Country:US
Mailing Address - Phone:302-998-3474
Mailing Address - Fax:302-998-3554
Practice Address - Street 1:21 N JAMES ST
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19804-3120
Practice Address - Country:US
Practice Address - Phone:302-998-3474
Practice Address - Fax:302-998-3554
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-25
Last Update Date:2012-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE0000595215Medicaid
DE232552Medicare ID - Type Unspecified