Active NPI
Newark Volunteer Fire Company
- Land Ambulance
- Newark, MD
National Provider Identifier
1043241664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- NEWARK VOLUNTEER FIRE COMPANY
- Practice address
- 8338 Newark Rd
Newark, MD 21841 - Phone
- (410) 479-4790
- Fax
- (410) 479-4793
- NPI assigned
- Jul 5, 2006
- Last updated
- Mar 19, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cathy L Carter
- Title
- Billing Agent
- Phone
- (410) 479-4790
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | NU | Primary |
Addresses
Primary practice location
8338 Newark Rd
Newark, MD 21841
Mailing address
Pobox 282
Newark, MD 21841
Phone (410) 479-4790
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 154204400 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040805001237 | MD | Part B Supplier - Ambulance Service Supplier | 9537130067 | Practice locations: Newark, MD |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1363651200000",
"number": "1043241664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "POBOX 282",
"city": "NEWARK",
"state": "MD",
"postal_code": "21841",
"telephone_number": "410-479-4790",
"fax_number": "410-479-4793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8338 NEWARK RD",
"city": "NEWARK",
"state": "MD",
"postal_code": "21841",
"telephone_number": "410-479-4790",
"fax_number": "410-479-4793"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEWARK VOLUNTEER FIRE COMPANY",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-05",
"last_updated": "2013-03-19",
"status": "A",
"authorized_official_last_name": "CARTER",
"authorized_official_first_name": "CATHY",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "BILLING AGENT",
"authorized_official_telephone_number": "410-479-4790"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "154204400",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newark, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.