Active NPI
East Coast Ambulance Service LLC
Doing business as East Coast Ambulance
- Land Ambulance
- Baltimore, MD
National Provider Identifier
1801884507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 000082
- Legal business name
- EAST COAST AMBULANCE SERVICE LLC
- Doing business as
- East Coast Ambulance
- Practice address
- 9505 Harford Rd
Baltimore, MD 21234-3112 - Phone
- (410) 663-2012
- Fax
- (410) 663-2015
- NPI assigned
- Oct 7, 2005
- 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
- Mr. Michael Joseph Rosellini
- Title
- Authorized Member
- Phone
- (410) 663-2012
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 000082 | MD | Primary |
Addresses
Primary practice location
9505 Harford Rd
Baltimore, MD 21234-3112
Mailing address
9505 Harford Rd
Baltimore, MD 21234-3112
Phone (410) 663-2012
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300106700 | Medicaid | MD | |
| 687Q | Other | MD | EMI |
| TR29 | Other | MD | BC/BS BELL ATLANTIC CASCI |
| TR29 | Other | MD | MAGELLAN |
| TR29 | Other | MD | BC/BS NATIONAL ACCOUNTS |
| TR29 | Other | MD | HIGHMARK |
| TR29 | Other | MD | BC/BS MD |
| 147509000 | Other | MD | OWCP |
| R2490001 | Other | MD | BC/BS FEDERAL |
| 8100047 | Other | MD | EVERCARE HEALTH |
| TR29 | Other | MD | BC/BS BLUE CHOICE |
Other names 1
- East Coast Ambulance
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
101 Peoples Dr
Unit 4
Newark, DE 19702
Phone (301) 952-1193
9413 Harford Rd
Baltimore, MD 21234
Phone (410) 663-2012
9505 Harford Rd
Baltimore, MD 21234
Phone (410) 663-2012
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128643200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1443139200000",
"number": "1801884507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9505 HARFORD RD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212343112",
"telephone_number": "410-663-2012",
"fax_number": "410-663-2015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9505 HARFORD RD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212343112",
"telephone_number": "410-663-2012",
"fax_number": "410-663-2015"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EAST COAST AMBULANCE SERVICE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-07",
"last_updated": "2015-09-25",
"status": "A",
"authorized_official_last_name": "ROSELLINI",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "JOSEPH",
"authorized_official_title_or_position": "AUTHORIZED MEMBER",
"authorized_official_telephone_number": "410-663-2012",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "MD",
"license": "000082",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300106700",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMI",
"identifier": "687Q",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS BELL ATLANTIC CASCI",
"identifier": "TR29",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "TR29",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS NATIONAL ACCOUNTS",
"identifier": "TR29",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK",
"identifier": "TR29",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS MD",
"identifier": "TR29",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OWCP",
"identifier": "147509000",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS FEDERAL",
"identifier": "R2490001",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EVERCARE HEALTH",
"identifier": "8100047",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS BLUE CHOICE",
"identifier": "TR29",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "East Coast Ambulance",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.