Organization Active NPI

Bladensburg Volunteer Fire Department & Rescue

  • Land Ambulance
  • Bladensburg, MD
National Provider Identifier
1023013034
Registry record updated Jul 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
BLADENSBURG VOLUNTEER FIRE DEPARTMENT & RESCUE
Practice address
4213 Edmonston Rd
Bladensburg, MD 20710-1230
Phone
(301) 864-4415
Fax
(301) 779-0272
NPI assigned
Jun 16, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Randy Kuenzli
Title
Fire Chief
Phone
(301) 864-4415

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

4213 Edmonston Rd
Bladensburg, MD 20710-1230

Mailing address

PO Box 726
New Cumberland, PA 17070-0726
Phone (717) 214-6018

Other identifiers 1

IdentifierTypeStateIssuer
403967000MedicaidMD

National Provider Directory

National Provider Directory

Locations

4213 Edmonston Rd
Bladensburg, MD 20710
Phone (301) 864-4415

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217203200000",
    "number": "1023013034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 726",
            "city": "NEW CUMBERLAND",
            "state": "PA",
            "postal_code": "170700726",
            "telephone_number": "717-214-6018",
            "fax_number": "717-214-6020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4213 EDMONSTON RD",
            "city": "BLADENSBURG",
            "state": "MD",
            "postal_code": "207101230",
            "telephone_number": "301-864-4415",
            "fax_number": "301-779-0272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLADENSBURG VOLUNTEER FIRE DEPARTMENT & RESCUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-16",
        "last_updated": "2008-07-28",
        "status": "A",
        "authorized_official_last_name": "KUENZLI",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "301-864-4415"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "403967000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bladensburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.