NPIMap

Organization Active NPI

The Sharptown Volunteer Fire Department Inc

  • Land Ambulance
  • Sharptown, MD
National Provider Identifier
1598796153
Registry record updated Jan 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
THE SHARPTOWN VOLUNTEER FIRE DEPARTMENT INC
Practice address
402 Church St
Sharptown, MD 21861
Phone
(410) 479-4790
Fax
(410) 479-4793
NPI assigned
Jul 5, 2006
Last updated
Jan 17, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2013

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

Authorized official

Name
Cathy L Carter
Title
Billing Agent
Phone
(410) 479-4790

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

402 Church St
Sharptown, MD 21861

Mailing address

PO Box 307
Sharptown, MD 21861-0307
Phone (410) 479-4790

Other identifiers 1

IdentifierTypeStateIssuer
141401100MedicaidMD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040515000354 MD Part B Supplier - Ambulance Service Supplier 5890785414 Practice locations: Sharptown, MD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358380800000",
    "number": "1598796153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 307",
            "city": "SHARPTOWN",
            "state": "MD",
            "postal_code": "218610307",
            "telephone_number": "410-479-4790",
            "fax_number": "410-479-4793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 CHURCH ST",
            "city": "SHARPTOWN",
            "state": "MD",
            "postal_code": "21861",
            "telephone_number": "410-479-4790",
            "fax_number": "410-479-4793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SHARPTOWN VOLUNTEER FIRE DEPARTMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2013-01-17",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "CATHY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BILLING AGENT",
        "authorized_official_telephone_number": "410-479-4790"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141401100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sharptown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2013; 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.