Organization Active NPI

Kent and Queen Anne'S Rescue Squad, Inc.

  • Land Ambulance
  • Chestertown, MD
National Provider Identifier
1811991243
Registry record updated Dec 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
343900000X Issued in MD
Legal business name
KENT AND QUEEN ANNE'S RESCUE SQUAD, INC.
Doing business as
Kent and Queen Anne's Rescue Squad
Practice address
140 Morgnec Rd
Chestertown, MD 21620
Phone
(410) 778-4495
NPI assigned
Jun 13, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jason Lobley
Title
Chief
Phone
(410) 778-4495

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 343900000X MD Primary

Addresses

Primary practice location

140 Morgnec Rd
Chestertown, MD 21620

Mailing address

PO Box 126
Chestertown, MD 21620-0126

Other identifiers 3

IdentifierTypeStateIssuer
449510100MedicaidMD
1024658870001MedicaidPA
590012064OtherMDRR MEDICARE

Other names 1

  • Kent and Queen Anne's Rescue Squad Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040916000349 MD Part B Supplier - Ambulance Service Supplier 4082681275 Practice locations: Chestertown, MD

National Provider Directory

National Provider Directory

Locations

140 Morgnec Rd
Chestertown, MD 21620
Phone (410) 778-4495

NPI Registry JSON

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766102400000",
    "number": "1811991243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 126",
            "city": "CHESTERTOWN",
            "state": "MD",
            "postal_code": "216200126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 MORGNEC RD",
            "city": "CHESTERTOWN",
            "state": "MD",
            "postal_code": "21620",
            "telephone_number": "410-778-4495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENT AND QUEEN ANNE'S RESCUE SQUAD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-13",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "status": "A",
        "authorized_official_last_name": "LOBLEY",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "410-778-4495"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MD",
            "license": "343900000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "449510100",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1024658870001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "590012064",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kent and Queen Anne's Rescue Squad",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chestertown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.