HWC Ambulance LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

115 Issued in MD

Legal business name

HWC AMBULANCE LLC

Practice address

2545 Lord Baltimore Dr
Suite D
Windsor Mill, MD 21244-2672

Phone

(410) 744-6100

NPI assigned

Jun 10, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Harlow Fullwood III

Title

Ceo

Phone

(410) 744-6100

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440547200000",
    "number": "1184665002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2545 LORD BALTIMORE DR",
            "address_2": "SUITE D",
            "city": "WINDSOR MILL",
            "state": "MD",
            "postal_code": "212442672",
            "telephone_number": "410-744-6100",
            "fax_number": "410-744-1301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2545 LORD BALTIMORE DR",
            "address_2": "SUITE D",
            "city": "WINDSOR MILL",
            "state": "MD",
            "postal_code": "212442672",
            "telephone_number": "410-744-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HWC AMBULANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2015-08-26",
        "status": "A",
        "authorized_official_last_name": "FULLWOOD",
        "authorized_official_first_name": "HARLOW",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-744-6100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MD",
            "license": "115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MD",
            "identifier": "296C",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "407765200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Land Ambulance in Windsor Mill, MD
• Providers in Windsor Mill, MD by specialty
• Land Ambulance in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2015; 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.