Organization Active NPI

The Community Fire Company of Perryville, Maryland, Inc.

  • Land Ambulance
  • Perryville, MD
National Provider Identifier
1114029477
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 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
Last updated
Nov 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Authorized official

Name
Karen Reinhart
Title
Vice President
Phone
(443) 309-5626

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

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 names 1

  • Perryville Volunteer Fire Company Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090715000111 MD Part B Supplier - Ambulance Service Supplier 4082766514 Practice locations: Perryville, MD

National Provider Directory

National Provider Directory

Locations

920 Principio Furnace Rd
Perryville, MD 21903
Phone (410) 642-2647

NPI Registry JSON

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732492800000",
    "number": "1114029477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 PORTER AVE",
            "city": "SCOTTDALE",
            "state": "PA",
            "postal_code": "156831141",
            "telephone_number": "410-642-2647",
            "fax_number": "410-642-0266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 PRINCIPIO FURNACE RD",
            "city": "PERRYVILLE",
            "state": "MD",
            "postal_code": "219032440",
            "telephone_number": "410-642-2647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE COMMUNITY FIRE COMPANY OF PERRYVILLE, MARYLAND, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-05",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A",
        "authorized_official_last_name": "REINHART",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "443-309-5626"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Perryville Volunteer Fire Company",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Perryville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; 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.