The Community Fire Company of Rising Sun Incorporated

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

THE COMMUNITY FIRE COMPANY OF RISING SUN INCORPORATED

Practice address

300 Biggs Hwy
Rising Sun, MD 21911-2245

Phone

(410) 658-5115

Fax

(410) 658-9899

NPI assigned

Sep 20, 2006

Organization subpart

No

Name

Kimberly B. Roland

Title

Board of Directors

Phone

(443) 350-3071

Medicare fee-for-service enrollment

Enrolled in MD

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 8, 2022.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662595200000",
    "number": "1972601565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W COMMONS BLVD",
            "address_2": "SUITE 210",
            "city": "NEW CASTLE",
            "state": "DE",
            "postal_code": "197202400",
            "telephone_number": "302-456-5725",
            "fax_number": "888-456-3155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BIGGS HWY",
            "city": "RISING SUN",
            "state": "MD",
            "postal_code": "219112245",
            "telephone_number": "410-658-5115",
            "fax_number": "410-658-9899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE COMMUNITY FIRE COMPANY OF RISING SUN INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A",
        "authorized_official_last_name": "ROLAND",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "BOARD OF DIRECTORS",
        "authorized_official_telephone_number": "443-350-3071"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "530902600",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BC/BS",
            "identifier": "TR76",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BLUE SHIELD",
            "identifier": "N861",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Rising Sun, MD
• Land Ambulance in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; 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.