Georges Creek Ambulance Service Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

GEORGES CREEK AMBULANCE SERVICE INC

Practice address

19 Union St
Lonaconing, MD 21539-1137

Phone

(301) 463-2295

Fax

(410) 479-4793

NPI assigned

Jul 5, 2006

Last updated

Apr 12, 2012By 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

James W Dawson Sr.

Title

Ambulance Coordinator

Phone

(301) 463-2295

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334188800000",
    "number": "1780615971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 155",
            "city": "LONACONING",
            "state": "MD",
            "postal_code": "215390155",
            "telephone_number": "301-463-6122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 UNION ST",
            "city": "LONACONING",
            "state": "MD",
            "postal_code": "215391137",
            "telephone_number": "301-463-2295",
            "fax_number": "410-479-4793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGES CREEK AMBULANCE SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2012-04-12",
        "status": "A",
        "authorized_official_last_name": "DAWSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "AMBULANCE COORDINATOR",
        "authorized_official_telephone_number": "301-463-2295",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015500400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Catherine Fazenbaker
• Sandra Foster
• Foundation Rehab, Inc.
• Generations Rehab Group, LLC
• Georges Creek Adult Care Center
• Georges Creek Pharmacy Inc (Georges Creek Pharmacy)
• Get Mobile Physical Therapy
• Jenna Green
• Erin Elizabeth Johnson
• Lori Lynne Kiddy, RPH

• Land Ambulance in Lonaconing, MD
• Providers in Lonaconing, 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 12, 2012; 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.