NPIMap

Organization Active NPI

Northern Garrett County Rescue Squad, Inc.

  • Land Ambulance
  • Grantsville, MD
National Provider Identifier
1073594826
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
NORTHERN GARRETT COUNTY RESCUE SQUAD, INC.
Practice address
124 Miller Street
Grantsville, MD 21536-0293
Phone
(301) 895-5520
Fax
(301) 746-8991
NPI assigned
Nov 9, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Kathy D Kabell
Title
Treasurer
Phone
(301) 746-8731

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X MD Primary

Addresses

Primary practice location

124 Miller Street
Grantsville, MD 21536-0293

Mailing address

PO Box 293
Grantsville, MD 21536-0293
Phone (301) 895-5520

Other identifiers 4

IdentifierTypeStateIssuer
793595ML1OtherMDOPTIMUM CHOICE
Z551OtherMHCAREFIRST
793595MD1OtherMDMDIPA
0450958OtherMDAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120131000098 MD Part B Supplier - Ambulance Service Supplier 9830356039 Practice locations: Grantsville, MD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073594826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 293",
            "city": "GRANTSVILLE",
            "state": "MD",
            "postal_code": "215360293",
            "telephone_number": "301-895-5520",
            "fax_number": "301-746-8991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 MILLER STREET",
            "city": "GRANTSVILLE",
            "state": "MD",
            "postal_code": "215360293",
            "telephone_number": "301-895-5520",
            "fax_number": "301-746-8991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN GARRETT COUNTY RESCUE SQUAD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KABELL",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "301-746-8731",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMUM CHOICE",
            "identifier": "793595ML1",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "Z551",
            "state": "MH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDIPA",
            "identifier": "793595MD1",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0450958",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grantsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.

Verify at the official NPI Registry.