Active NPI
Southern Garrett County Rescue Squad Inc
- Land Ambulance
- Oakland, MD
National Provider Identifier
1245241967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- SOUTHERN GARRETT COUNTY RESCUE SQUAD INC
- Practice address
- 100 Baltimore Ave Mountain Lake Park
Oakland, MD 21550 - Phone
- (410) 479-4790
- Fax
- (410) 479-4793
- NPI assigned
- Aug 10, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Cathy L Carter
- Title
- Billing Agent
- Phone
- (410) 479-4790
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
100 Baltimore Ave Mountain Lake Park
Oakland, MD 21550
Mailing address
PO Box 560
Denton, MD 21629-0560
Phone (410) 479-4790
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070423000094 | MD | Part B Supplier - Ambulance Service Supplier | 0749385631 | Practice locations: Oakland, MD |
National Provider Directory
National Provider DirectoryLocations
200 Baltimore Ave
Oakland, MD 21550
Phone (301) 334-3000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1245241967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 560",
"city": "DENTON",
"state": "MD",
"postal_code": "216290560",
"telephone_number": "410-479-4790",
"fax_number": "410-479-4793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 BALTIMORE AVE MOUNTAIN LAKE PARK",
"city": "OAKLAND",
"state": "MD",
"postal_code": "21550",
"telephone_number": "410-479-4790",
"fax_number": "410-479-4793"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHERN GARRETT COUNTY RESCUE SQUAD INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-10",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CARTER",
"authorized_official_first_name": "CATHY",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "BILLING AGENT",
"authorized_official_telephone_number": "410-479-4790",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland, MD
- Skyeia Holistic Services, LLC
- Renea Slaughter, LCSW
- McKinzi P Smith
- Rachel Smith, DC
- Michele Marie Snyder, MS, CCC, SLP
- Crystal M Spaid, R.PH.
- Specialty Physicians of Garrett County, LLC
- Specialty Physicians of Garrett County, LLC
- Specialty Physicians of Garrett County, LLC
- Specialty Physicians of Garrett County, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.