Active NPI
Allen Volunteer Fire Co., Inc
- Land Ambulance
- Allen, MD
National Provider Identifier
1740211648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- NONE REQUIRED
- 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
- Last updated
- Dec 17, 2012
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | NONE REQUIRED | MD | Primary |
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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050921000475 | MD | Part B Supplier - Ambulance Service Supplier | 6507897725 | Practice locations: Allen, MD |
National Provider Directory
National Provider DirectoryNPI 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": "1355702400000",
"number": "1740211648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 513",
"city": "DENTON",
"state": "MD",
"postal_code": "216290513",
"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": "3676 S UPPER FERRY RD",
"city": "ALLEN",
"state": "MD",
"postal_code": "21810",
"telephone_number": "410-479-4790",
"fax_number": "410-479-4793"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALLEN VOLUNTEER FIRE CO., INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-06",
"last_updated": "2012-12-17",
"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": "MD",
"license": "NONE REQUIRED",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2012; 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.