NPIMap

Organization Active NPI

Sudlersville Fire Company Incorporated

  • Land Ambulance
  • Sudlersville, MD
National Provider Identifier
1174709471
Registry record updated Mar 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
SUDLERSVILLE FIRE COMPANY INCORPORATED
Practice address
203 North Church St.
Sudlersville, MD 21668
Phone
(410) 438-3155
NPI assigned
Jan 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2013

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

Authorized official

Name
Michael R Faust
Title
President
Phone
(410) 438-3155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

203 North Church St.
Sudlersville, MD 21668

Mailing address

PO Box 61
Sudlersville, MD 21668-0061
Phone (410) 438-3155

Other identifiers 3

IdentifierTypeStateIssuer
29776OtherMDHEALTH AMERICA
TR17SUOtherMDCAREFIRST BLUE CROSS
440900100MedicaidMD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363046400000",
    "number": "1174709471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 61",
            "city": "SUDLERSVILLE",
            "state": "MD",
            "postal_code": "216680061",
            "telephone_number": "410-438-3155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 NORTH CHURCH ST.",
            "city": "SUDLERSVILLE",
            "state": "MD",
            "postal_code": "21668",
            "telephone_number": "410-438-3155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUDLERSVILLE FIRE COMPANY INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-16",
        "last_updated": "2013-03-12",
        "status": "A",
        "authorized_official_last_name": "FAUST",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-438-3155"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA",
            "identifier": "29776",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BLUE CROSS",
            "identifier": "TR17SU",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "440900100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sudlersville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.