Dorchester County Commissioners
Organization Active NPI Land Ambulance · Church Creek, MD
NPI 1770513186 · NPPES record last updated May 11, 2020
Key facts
- NPI
- 1770513186
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- Legal business name
- DORCHESTER COUNTY COMMISSIONERS
- Practice address
- 1902 Church Creek Rd
Church Creek, MD 21622 - Phone
- (410) 228-2726
- Fax
- (410) 228-3494
- NPI assigned
- Jul 3, 2006
- Organization subpart
- No
Authorized official
- Name
- Troi L Faith
- Title
- EMS Liaison
- Phone
- (410) 228-2726
Other NPIs on the same Medicare enrollment 8
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120110000726 | MD | Part B Supplier - Ambulance Service Supplier | 4981870151 |
8 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Wingate, MD; Vienna, MD; Church Creek, MD; Secretary, MD; Rhodesdale, MD; Fishing Creek, MD; Cambridge, MD; Hurlock, MD |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Yes |
Addresses
Primary practice location
1902 Church Creek Rd
Church Creek, MD 21622
Mailing address
829 Fieldcrest Rd
Cambridge, MD 21613-9423
Phone (410) 228-2726
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 405602700 | Medicaid | MD | |
| G414 | Other | MD | CAREFIRST BC/BS |
Other names
- CHURCH CREEK VFC
Other providers in Church Creek, MD
All providers in Church Creek, MD · Land Ambulance in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 11, 2020. 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.