Active NPI
Volunteer Fire Company of Halfway MD. Inc
- Land Ambulance
- Hagerstown, MD
National Provider Identifier
1336140086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TR20 | Other | BLUE CROSS/BLUE SHIELD | |
| 206300000 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110726000326 | MD | Part B Supplier - Ambulance Service Supplier | 6901074558 | Practice locations: Hagerstown, MD |
National Provider Directory
National Provider DirectoryLocations
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.