Organization Active NPI

Caroline County Commissioners Dept.

  • Land Ambulance
  • Denton, MD
National Provider Identifier
1669498879
Registry record updated Mar 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
CAROLINE COUNTY COMMISSIONERS DEPT.
Practice address
109 Market St
Denton, MD 21629-1057
Phone
(410) 479-4790
Fax
(410) 479-4793
NPI assigned
Jul 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 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

109 Market St
Denton, MD 21629-1057

Mailing address

PO Box 459
Denton, MD 21629-0459
Phone (410) 479-4790

Other identifiers 1

IdentifierTypeStateIssuer
377798700MedicaidMD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060207000853 MD Part B Supplier - Ambulance Service Supplier 6608881982 Practice locations: Ridgely, MD; Queen Anne, MD; Preston, MD; Greensboro, MD; Federalsburg, MD; Goldsboro, MD; Denton, MD

National Provider Directory

National Provider Directory

Locations

9391 Double Hills Rd
Denton, MD 21629

109 Market St
Denton, MD 21629

400 S 5th Ave
Denton, MD 21629

407 N University Ave
Federalsburg, MD 21632

208 N University Ave
Federalsburg, MD 21632

8 W 1st St
Ridgely, MD 21660

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363651200000",
    "number": "1669498879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 459",
            "city": "DENTON",
            "state": "MD",
            "postal_code": "216290459",
            "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": "109 MARKET ST",
            "city": "DENTON",
            "state": "MD",
            "postal_code": "216291057",
            "telephone_number": "410-479-4790",
            "fax_number": "410-479-4793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINE COUNTY COMMISSIONERS DEPT.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2013-03-19",
        "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": "377798700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.