Ellerslie Volunteer Ambulance Service Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

NONE REQUIRED Issued in MD

Legal business name

ELLERSLIE VOLUNTEER AMBULANCE SERVICE INC

Practice address

14200 Ellerslie Rd
Ellerslie, MD 21529-1128

Phone

(410) 479-4790

Fax

(410) 479-4793

NPI assigned

Jul 3, 2006

Last updated

Dec 29, 2011By 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

Cathy L Carter

Title

Billing Agent

Phone

(410) 479-4790

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Edward S Williams, NREMT-P

  • Paramedic
  • Ellerslie, MD
  • NPI 1013935485
  NPD (past)

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325116800000",
    "number": "1811926405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 390",
            "city": "ELLERSLIE",
            "state": "MD",
            "postal_code": "215290390",
            "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": "14200 ELLERSLIE RD",
            "city": "ELLERSLIE",
            "state": "MD",
            "postal_code": "215291128",
            "telephone_number": "410-479-4790",
            "fax_number": "410-479-4793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLERSLIE VOLUNTEER AMBULANCE SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2011-12-29",
        "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "215203700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marlon Leo Kasekamp
• Mary Kathy Kasekamp
• Justus Daniel Leprevost
• Edward S Williams, NREMT-P

• Land Ambulance in Ellerslie, MD
• Providers in Ellerslie, MD by specialty
• Land Ambulance in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2011; 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.