Organization Active NPI

Volunteer Fire Company of Halfway MD. Inc

  • Land Ambulance
  • Hagerstown, MD
National Provider Identifier
1336140086
Registry record updated Feb 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
VOLUNTEER FIRE COMPANY OF HALFWAY MD. INC
Practice address
11114 Lincoln Ave
Hagerstown, MD 21740-7514
Phone
(301) 582-2223
Fax
(301) 582-1075
NPI assigned
Aug 3, 2005
Last updated
Feb 25, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2020

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

Authorized official

Name
Christopher Amos
Title
Administrator
Phone
(301) 582-2223

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X NU Primary

Addresses

Primary practice location

11114 Lincoln Ave
Hagerstown, MD 21740-7514

Mailing address

269 Main St
Cromwell, CT 06416-2361
Phone (860) 638-1800

Other identifiers 2

IdentifierTypeStateIssuer
TR20OtherBLUE CROSS/BLUE SHIELD
206300000MedicaidMD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110726000326 MD Part B Supplier - Ambulance Service Supplier 6901074558 Practice locations: Hagerstown, MD

National Provider Directory

National Provider Directory

Locations

11114 Lincoln Ave
Hagerstown, MD 21740
Phone (301) 582-2223

NPI Registry JSON

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582588800000",
    "number": "1336140086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "269 MAIN ST",
            "city": "CROMWELL",
            "state": "CT",
            "postal_code": "064162361",
            "telephone_number": "860-638-1800",
            "fax_number": "860-638-1802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11114 LINCOLN AVE",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217407514",
            "telephone_number": "301-582-2223",
            "fax_number": "301-582-1075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VOLUNTEER FIRE COMPANY OF HALFWAY MD. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-03",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A",
        "authorized_official_last_name": "AMOS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "301-582-2223"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "TR20",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "206300000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.