Active NPI
Kent Island Volunteer Fire Department, Inc.
- Land Ambulance
- Chester, MD
National Provider Identifier
1467515007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- KENT ISLAND VOLUNTEER FIRE DEPARTMENT, INC.
- Practice address
- 1610 Main St
Chester, MD 21619-2790 - Phone
- (410) 643-5457
- NPI assigned
- Dec 18, 2006
- Last updated
- Oct 9, 2026
- 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
- Colleen Teresa Thomas
- Title
- Billing Coordinator
- Phone
- (410) 490-3015
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | NU | Primary |
Addresses
Primary practice location
1610 Main St
Chester, MD 21619-2790
Mailing address
1610 Main St
Chester, MD 21619-2790
Phone (410) 643-5454
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 401576200 | Medicaid | MD | |
| 211085 | Other | MD | HEALTH AMERICA |
| F642 | Other | MD | FEDERAL BLUE SHIELD |
| TS03 | Other | MD | CAREFIRST BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090810000520 | MD | Part B Supplier - Ambulance Service Supplier | 6406900406 | Practice locations: Chester, MD |
National Provider Directory
National Provider DirectoryLocations
1610 Main St
Chester, MD 21619
Phone (410) 643-5454
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791504000000",
"number": "1467515007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1610 MAIN ST",
"city": "CHESTER",
"state": "MD",
"postal_code": "216192790",
"telephone_number": "410-643-5454",
"fax_number": "336-791-0196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1610 MAIN ST",
"city": "CHESTER",
"state": "MD",
"postal_code": "216192790",
"telephone_number": "410-643-5457"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KENT ISLAND VOLUNTEER FIRE DEPARTMENT, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-18",
"last_updated": "2026-10-09",
"certification_date": "2026-10-09",
"status": "A",
"authorized_official_last_name": "THOMAS",
"authorized_official_first_name": "COLLEEN",
"authorized_official_middle_name": "TERESA",
"authorized_official_title_or_position": "BILLING COORDINATOR",
"authorized_official_telephone_number": "410-490-3015"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "401576200",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH AMERICA",
"identifier": "211085",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL BLUE SHIELD",
"identifier": "F642",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BLUE CROSS",
"identifier": "TS03",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chester, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2026; 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.