The Fallston Volunteer Fire and Ambulance Company, Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

THE FALLSTON VOLUNTEER FIRE AND AMBULANCE COMPANY, INC.

Practice address

2201 Carrs Mill Rd
Fallston, MD 21047

Phone

(410) 638-4890

NPI assigned

Mar 23, 2007

Last updated

Nov 13, 2024By 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

Christopher M Gibbons

Title

President

Phone

(410) 638-4890

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731456000000",
    "number": "1255458659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 141",
            "city": "FALLSTON",
            "state": "MD",
            "postal_code": "210470141",
            "telephone_number": "410-638-4890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 CARRS MILL RD",
            "city": "FALLSTON",
            "state": "MD",
            "postal_code": "21047",
            "telephone_number": "410-638-4890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE FALLSTON VOLUNTEER FIRE AND AMBULANCE COMPANY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A",
        "authorized_official_last_name": "GIBBONS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-638-4890"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "091102000",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BLUE SHIELD",
            "identifier": "Z727TH",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD MEDICARE",
            "identifier": "389Q",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren A Stuart, PHARMD
• Lisa Summerlin, PMHNP-BC
• Liane Scarlett Sweeney, FNP-C
• Leslie Ann Taylor, CRNP-PMH
• Rosema Jackielyn Taylor
• Kristi Eliza Thrailkill, LCSW-C
• Jesse Trovato, LGPC
• Thomas George Tzomides, DDS
• Umms Ambulatory Care LLC (University of Maryland Urgent Care-Fallston)
• Teddy Umo, DDS

• Land Ambulance in Fallston, MD
• Providers in Fallston, MD by specialty
• Land Ambulance in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; 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.