Cresaptown Volunteer Fire Department Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

NONE REQUIRED Issued in MD

Legal business name

CRESAPTOWN VOLUNTEER FIRE DEPARTMENT INC

Practice address

13109 Warrior Dr
Cresaptown, MD 21502-5602

Phone

(410) 479-4790

Fax

(410) 479-4793

NPI assigned

Jul 3, 2006

Last updated

Dec 21, 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

Cathy L Carter

Title

Billing Agent

Phone

(410) 479-4790

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356048000000",
    "number": "1902835598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 428",
            "city": "DENTON",
            "state": "MD",
            "postal_code": "216290428",
            "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": "13109 WARRIOR DR",
            "city": "CRESAPTOWN",
            "state": "MD",
            "postal_code": "215025602",
            "telephone_number": "410-479-4790",
            "fax_number": "410-479-4793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESAPTOWN VOLUNTEER FIRE DEPARTMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2012-12-21",
        "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": "352928200",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "590013438",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Land Ambulance in Cresaptown, MD
• Providers in Cresaptown, 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 21, 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.