NPIMap

Organization Active NPI

Frederick County Maryland

  • Land Ambulance
  • Frederick, MD
National Provider Identifier
1386626224
Registry record updated Oct 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
FREDERICK COUNTY MARYLAND
Practice address
12 E Church St
Frederick, MD 21701-5402
Phone
(301) 600-6781
Fax
(301) 600-1323
NPI assigned
Nov 16, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2020

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

Authorized official

Name
Thomas E Coe
Title
Director
Phone
(301) 600-1780

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X MD Primary

Addresses

Primary practice location

12 E Church St
Frederick, MD 21701-5402

Mailing address

PO Box 3660
Frederick, MD 21705-3660

Other identifiers 4

IdentifierTypeStateIssuer
401267400MedicaidMD
402899600MedicaidMD
401265800MedicaidMD
402898800MedicaidMD

Other names 1

  • County Commisioners Accounting Office Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091202000159 MD Part B Supplier - Ambulance Service Supplier 6204730781 Practice locations: Walkersville, MD; Woodsboro, MD; Thurmont, MD; Point of Rocks, MD; New Market, MD; Myersville, MD; Monrovia, MD; Middletown, MD…

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Frederick County Health17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

Locations

1809 Ballenger Creek Pike
Pt of Rocks, MD 21777
Phone (301) 600-1308

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Citizens Care and Rehabilitation CenterFrederick, MD, CCN 215105 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Sep 1, 2016
Feb 21, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Frederick County Maryland

    dba Citizens Care and Rehabilitation Center

    • Skilled Nursing Facility
    • Frederick, MD
    • NPI 1144217423

    5% Or Greater Direct Ownership Interest, Adp of the SNF

    CMS ownership

NPI Registry JSON

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601596800000",
    "number": "1386626224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3660",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217053660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 E CHURCH ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217015402",
            "telephone_number": "301-600-6781",
            "fax_number": "301-600-1323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICK COUNTY MARYLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-16",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-02",
        "status": "A",
        "authorized_official_last_name": "COE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "301-600-1780"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "401267400",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "402899600",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "401265800",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "402898800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "County Commisioners Accounting Office",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "County Commisioners Accounting Office",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.