Organization Active NPI

East Coast Ambulance Service LLC

Doing business as East Coast Ambulance

  • Land Ambulance
  • Baltimore, MD
National Provider Identifier
1801884507
Registry record updated Sep 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
000082 Issued in MD
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

Updated by the provider on Sep 25, 2015

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
300106700MedicaidMD
687QOtherMDEMI
TR29OtherMDBC/BS BELL ATLANTIC CASCI
TR29OtherMDMAGELLAN
TR29OtherMDBC/BS NATIONAL ACCOUNTS
TR29OtherMDHIGHMARK
TR29OtherMDBC/BS MD
147509000OtherMDOWCP
R2490001OtherMDBC/BS FEDERAL
8100047OtherMDEVERCARE HEALTH
TR29OtherMDBC/BS BLUE CHOICE

Other names 1

  • East Coast Ambulance Doing business as

National Provider Directory

National Provider Directory

Member 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.

Verify at the official NPI Registry.