Mardela Springs Volunteer Fire Company Incorporated

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

NONE REQUIRED Issued in MD

Legal business name

MARDELA SPRINGS VOLUNTEER FIRE COMPANY INCORPORATED

Practice address

101 Station St
Mardela Springs, MD 21837

Phone

(410) 479-4790

Fax

(410) 479-4793

NPI assigned

Jul 5, 2006

Last updated

Jan 23, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cathy L Carter

Title

Billing Agent

Phone

(410) 479-4790

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327276800000",
    "number": "1255362968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 123",
            "city": "MARDELA SPRINGS",
            "state": "MD",
            "postal_code": "218370123",
            "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": "101 STATION ST",
            "city": "MARDELA SPRINGS",
            "state": "MD",
            "postal_code": "21837",
            "telephone_number": "410-479-4790",
            "fax_number": "410-479-4793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARDELA SPRINGS VOLUNTEER FIRE COMPANY INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2012-01-23",
        "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"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MD",
            "license": "NONE REQUIRED",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "255106300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Land Ambulance in Mardela Springs, MD
• Providers in Mardela Springs, MD by specialty
• Land Ambulance in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2012; 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.