NPIMap

Organization Active NPI

Community Rescue Service, Inc

  • Paramedic
  • Hagerstown, MD
National Provider Identifier
1568507655
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ParamedicTaxonomy code 146L00000X
Legal business name
COMMUNITY RESCUE SERVICE, INC
Practice address
110 Eastern Blvd N
Hagerstown, MD 21740-5843
Phone
(301) 733-1112
Fax
(301) 739-6015
NPI assigned
Feb 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Elizabeth Vay Close
Title
Office Manager
Phone
(301) 733-1112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ParamedicGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 146L00000X MD Primary

Addresses

Primary practice location

110 Eastern Blvd N
Hagerstown, MD 21740-5843

Mailing address

110 Eastern Blvd N
Hagerstown, MD 21740-5843
Phone (301) 733-1112

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100106000016 MD Part B Supplier - Ambulance Service Supplier 0345381810 Practice locations: Hagerstown, MD

National Provider Directory

National Provider Directory

Locations

110 Eastern Blvd N
Hagerstown, MD 21740
Phone (301) 733-1112

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568507655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 EASTERN BLVD N",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217405843",
            "telephone_number": "301-733-1112",
            "fax_number": "301-739-6015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 EASTERN BLVD N",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217405843",
            "telephone_number": "301-733-1112",
            "fax_number": "301-739-6015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY RESCUE SERVICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLOSE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "VAY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "301-733-1112",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 22, 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.