Freestate Transportation, LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

128 Issued in MD

Legal business name

FREESTATE TRANSPORTATION, LLC

Doing business as

Freestate Ambulance

Practice address

1001 Cromwell Bridge Rd Ste 210
Towson, MD 21286-3330

Phone

(410) 609-2156

Fax

(410) 609-2159

NPI assigned

Mar 15, 2010

Last updated

Apr 22, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Nico Mawun, M.A

Title

President

Phone

(703) 926-3219

Specialties & licenses 1

Addresses

Other names 1

• Freestate Ambulance Doing business as

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1268611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745280000000",
    "number": "1720302052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 CROMWELL BRIDGE RD STE 210",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212863330",
            "telephone_number": "410-609-2156",
            "fax_number": "410-609-2159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 CROMWELL BRIDGE RD STE 210",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212863330",
            "telephone_number": "410-609-2156",
            "fax_number": "410-609-2159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREESTATE TRANSPORTATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-15",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A",
        "authorized_official_last_name": "MAWUN",
        "authorized_official_first_name": "NICO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-926-3219",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.A"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MD",
            "license": "128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Freestate Ambulance",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Freestate Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.