Allen Volunteer Fire Co., Inc
Organization Active NPI Land Ambulance · Allen, MD
NPI 1740211648 · NPPES record last updated Dec 17, 2012
Key facts
- NPI
- 1740211648
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- NONE REQUIRED (MD)
- Legal business name
- ALLEN VOLUNTEER FIRE CO., INC
- Practice address
- 3676 S Upper Ferry Rd
Allen, MD 21810 - Phone
- (410) 479-4790
- Fax
- (410) 479-4793
- NPI assigned
- Jul 6, 2006
- Organization subpart
- No
Authorized official
- Name
- Cathy L Carter
- Title
- Billing Agent
- Phone
- (410) 479-4790
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050921000475 | MD | Part B Supplier - Ambulance Service Supplier | 6507897725 | Practice locations: Allen, MD |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | NONE REQUIRED | MD | Yes |
Addresses
Primary practice location
3676 S Upper Ferry Rd
Allen, MD 21810
Mailing address
PO Box 513
Denton, MD 21629-0513
Phone (410) 479-4790
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 408681300 | Medicaid | MD |
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 17, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.