NPIMap

Organization Active NPI

Waldorf Volunteer Fire Department, Inc.

  • Ambulance
  • Waldorf, MD
National Provider Identifier
1174035448
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
WALDORF VOLUNTEER FIRE DEPARTMENT, INC.
Practice address
3245 Old Washington Rd
Waldorf, MD 20602-3202
Phone
(301) 535-8033
NPI assigned
Oct 26, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Cathy Lynn Carter
Title
Billing Agent
Phone
(410) 479-4790

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary

Addresses

Primary practice location

3245 Old Washington Rd
Waldorf, MD 20602-3202

Mailing address

PO Box 497
Denton, MD 21629-0497
Phone (301) 645-9292

Other practice location 1

1065 Saint Ignatius Dr
Waldorf, MD 20602-1844
Phone (301) 645-3000

Other practice location 2

7000 Saint Florian Dr
Waldorf, MD 20603-3300
Phone (301) 705-6655

Other practice location 3

7000 Saint Florian Dr
Waldorf, MD 20603-3300
Phone (301) 705-6655

Other names 1

  • Waldorf Volunteer Fire Department Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171115001662 MD Part B Supplier - Ambulance Service Supplier 2365708963 Practice locations: Waldorf, MD

National Provider Directory

National Provider Directory

Locations

3245 Old Washington Rd
Waldorf, MD 20602
Phone (301) 535-8033

1065 Saint Ignatius Dr
Waldorf, MD 20602
Phone (301) 645-3000

1069 Saint Ignatius Dr
Waldorf, MD 20602
Phone (301) 535-8033

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": "1508976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1174035448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 497",
            "city": "DENTON",
            "state": "MD",
            "postal_code": "216290497",
            "telephone_number": "301-645-9292",
            "fax_number": "410-479-4793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3245 OLD WASHINGTON RD",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206023202",
            "telephone_number": "301-535-8033"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1065 Saint Ignatius Dr",
            "address_purpose": "LOCATION",
            "city": "Waldorf",
            "state": "MD",
            "postal_code": "206021844",
            "country_code": "US",
            "telephone_number": "301-645-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7000 Saint Florian Dr",
            "address_purpose": "LOCATION",
            "city": "Waldorf",
            "state": "MD",
            "postal_code": "206033300",
            "country_code": "US",
            "telephone_number": "301-705-6655",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7000 Saint Florian Dr",
            "address_purpose": "LOCATION",
            "city": "Waldorf",
            "state": "MD",
            "postal_code": "206033300",
            "country_code": "US",
            "telephone_number": "301-705-6655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WALDORF VOLUNTEER FIRE DEPARTMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-26",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "CATHY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "BILLING AGENT",
        "authorized_official_telephone_number": "410-479-4790"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Waldorf Volunteer Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waldorf, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.