Crumpton Volunteer Fire Department Inc

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

CRUMPTON VOLUNTEER FIRE DEPARTMENT INC

Practice address

300 3Rd St
Crumpton, MD 21628

Phone

(410) 778-6100

Fax

(410) 778-0979

NPI assigned

Jan 17, 2006

Last updated

Jan 28, 2008By 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

Mr. Steven Wayne Driver

Title

President

Phone

(410) 924-6591

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201478400000",
    "number": "1982683074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 68",
            "city": "CRUMPTON",
            "state": "MD",
            "postal_code": "216280068",
            "telephone_number": "410-778-6100",
            "fax_number": "410-778-0979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 3RD ST",
            "city": "CRUMPTON",
            "state": "MD",
            "postal_code": "21628",
            "telephone_number": "410-778-6100",
            "fax_number": "410-778-0979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRUMPTON VOLUNTEER FIRE DEPARTMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-17",
        "last_updated": "2008-01-28",
        "status": "A",
        "authorized_official_last_name": "DRIVER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-924-6591",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MD",
            "license": null,
            "primary": false
        },
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MD",
            "license": null,
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND BLUE SHIELD",
            "identifier": "TR08CR",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samala Brown

• Ambulance in Crumpton, MD
• Providers in Crumpton, MD by specialty
• Ambulance in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; 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.