NPIMap

Organization Active NPI

Dorchester County Commissioners

Doing business as Lakes & Straits VFC

  • Land Ambulance
  • Wingate, MD
National Provider Identifier
1275564684
Registry record updated May 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
DORCHESTER COUNTY COMMISSIONERS
Doing business as
Lakes & Straits VFC
Practice address
2103 Farm Creek Rd
Wingate, MD 21675-2003
Phone
(410) 228-2726
Fax
(410) 228-3494
NPI assigned
Jul 5, 2006
Last updated
May 11, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2020

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

Authorized official

Name
Troi L Faith
Title
EMS Liaison
Phone
(410) 228-2726

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

2103 Farm Creek Rd
Wingate, MD 21675-2003

Mailing address

829 Fieldcrest Rd
Cambridge, MD 21613-9423
Phone (410) 228-2726

Other identifiers 2

IdentifierTypeStateIssuer
405602700MedicaidMD
G414OtherMDCAREFIRST BC/BS

Other names 1

  • LAKES & STRAITS VFC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120110000726 MD Part B Supplier - Ambulance Service Supplier 4981870151 8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Wingate, MD; Vienna, MD; Church Creek, MD; Secretary, MD; Rhodesdale, MD; Fishing Creek, MD; Cambridge, MD; Hurlock, MD

Other NPIs on the same Medicare enrollment 8

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589155200000",
    "number": "1275564684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "829 FIELDCREST RD",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216139423",
            "telephone_number": "410-228-2726",
            "fax_number": "410-228-3494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2103 FARM CREEK RD",
            "city": "WINGATE",
            "state": "MD",
            "postal_code": "216752003",
            "telephone_number": "410-228-2726",
            "fax_number": "410-228-3494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DORCHESTER COUNTY COMMISSIONERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2020-05-11",
        "certification_date": "2020-05-11",
        "status": "A",
        "authorized_official_last_name": "FAITH",
        "authorized_official_first_name": "TROI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EMS LIAISON",
        "authorized_official_telephone_number": "410-228-2726"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "405602700",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BC/BS",
            "identifier": "G414",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LAKES & STRAITS VFC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LAKES & STRAITS VFC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.

Verify at the official NPI Registry.