The Community Fire Company of Perryville, Maryland, Inc.
Organization Active NPI Land Ambulance · Perryville, MD
NPI 1114029477 · NPPES record last updated Nov 25, 2024
Key facts
- NPI
- 1114029477
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- Legal business name
- THE COMMUNITY FIRE COMPANY OF PERRYVILLE, MARYLAND, INC.
- Practice address
- 920 Principio Furnace Rd
Perryville, MD 21903-2440 - Phone
- (410) 642-2647
- NPI assigned
- Sep 5, 2006
- Organization subpart
- No
Authorized official
- Name
- Karen Reinhart
- Title
- Vice President
- Phone
- (443) 309-5626
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090715000111 | MD | Part B Supplier - Ambulance Service Supplier | 4082766514 | Practice locations: Perryville, MD |
National Provider Directory
Locations
920 Principio Furnace Rd
Perryville, MD 21903
Phone (410) 642-2647
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Yes |
Addresses
Primary practice location
920 Principio Furnace Rd
Perryville, MD 21903-2440
Mailing address
409 Porter Ave
Scottdale, PA 15683-1141
Phone (410) 642-2647
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y331 | Other | MD | CAREFIRST BC/BS |
| 606601100 | Medicaid | MD | |
| R923 | Other | MD | FEDERAL BLUE SHIELD |
Other names
- Perryville Volunteer Fire Company
Other providers in Perryville, MD
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All providers in Perryville, MD · Land Ambulance in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 25, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.