Potomac Heights Volunteer Fire Dept and Rescue Squad Incorporated
Organization Active NPI Land Ambulance · Indian Head, MD
NPI 1255030698 · NPPES record last updated Feb 24, 2023
Key facts
- NPI
- 1255030698
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- Legal business name
- POTOMAC HEIGHTS VOLUNTEER FIRE DEPT AND RESCUE SQUAD INCORPORATED
- Practice address
- 73 Glymont Rd
Indian Head, MD 20640-1115 - Phone
- (301) 743-7700
- NPI assigned
- Feb 24, 2023
- Organization subpart
- No
Authorized official
- Name
- Mrs. Leah Carter Watkins
- Title
- Billing Agent
- Phone
- (410) 479-4790
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230410002369 | MD | Part B Supplier - Ambulance Service Supplier | 4981079720 | Practice locations: Indian Head, MD |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Yes |
Addresses
Primary practice location
73 Glymont Rd
Indian Head, MD 20640-1115
Mailing address
PO Box 272
Denton, MD 21629-0272
Phone (410) 479-4790
Other providers in Indian Head, MD
- Eddie Emanuel Nance
- Naval Health Clinic Patuxent River
- Juan Pablo Navarro
- Michael New
- Chatchaval Pongsugree
- Reach for It Agency
- Jason Scott Reynolds
- Sheilas Luxurycare Services
- Njong Tambu
- The Heard Group, LLC
All providers in Indian Head, MD · Land Ambulance in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 24, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.