Organization Active NPI

Mayor & City Council of Cumberland

  • Land Ambulance
  • Cumberland, MD
National Provider Identifier
1619908472
Registry record updated Sep 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
MAYOR & CITY COUNCIL OF CUMBERLAND
Practice address
57 N Liberty St
Cumberland, MD 21502-2312
Phone
(410) 479-4790
Fax
(410) 479-4793
NPI assigned
Jul 6, 2006
Last updated
Sep 20, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2011

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

57 N Liberty St
Cumberland, MD 21502-2312

Mailing address

PO Box 120
Denton, MD 21629-0120
Phone (410) 479-4790

Other identifiers 2

IdentifierTypeStateIssuer
8003006000MedicaidWV
629670000MedicaidMD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111122000191 MD Part B Supplier - Ambulance Service Supplier 4486828803 Practice locations: Cumberland, MD

National Provider Directory

National Provider Directory

Locations

57 N Liberty St
Cumberland, MD 21502
Phone (301) 759-6485

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316476800000",
    "number": "1619908472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 120",
            "city": "DENTON",
            "state": "MD",
            "postal_code": "216290120",
            "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": "57 N LIBERTY ST",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215022312",
            "telephone_number": "410-479-4790",
            "fax_number": "410-479-4793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYOR & CITY COUNCIL OF CUMBERLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2011-09-20",
        "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": "8003006000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "629670000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumberland, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2011; 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.