Grasonville Volunteer Ambulance Department, Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

GRASONVILLE VOLUNTEER AMBULANCE DEPARTMENT, INC.

Practice address

4132 Main St
Grasonville, MD 21638-1251

Phone

(410) 827-7555

NPI assigned

Aug 1, 2006

Organization subpart

No

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

Authorized official

Name

James R O'Donnell

Title

President

Phone

(410) 827-7555

Specialties & licenses 1

Addresses

Other identifiers 4

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1720094568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 626",
            "city": "GRASONVILLE",
            "state": "MD",
            "postal_code": "216380626",
            "telephone_number": "410-827-7555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4132 MAIN ST",
            "city": "GRASONVILLE",
            "state": "MD",
            "postal_code": "216381251",
            "telephone_number": "410-827-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRASONVILLE VOLUNTEER AMBULANCE DEPARTMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "O'DONNELL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-827-7555"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "279400400",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA/ASSURANCE",
            "identifier": "28916",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BLUE SHIELD",
            "identifier": "52187279",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BLUE CROSS",
            "identifier": "TR46GR",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yavonne L Ellis, LPN
• Joseph Ewing
• Holly Funger, LCSW-C
• Grasonville Health Services, Inc.
• Grasonville Health Services, Inc.
• Grasonville Volunteer Fire Department Inc
• Joel H. Wilkerson MD and Associates LLC
• Katie Abdalla
• Mink Hill Home, Inc.
• Emily Morton

• Land Ambulance in Grasonville, MD
• Providers in Grasonville, MD by specialty
• Land Ambulance in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.