NPIMap

Organization Active NPI

Dorchester County Commissioners

Doing business as Eldorado Brookview VFC

  • Land Ambulance
  • Rhodesdale, MD
National Provider Identifier
1992734610
Registry record updated Mar 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
NONE REQUIED Issued in MD
Legal business name
DORCHESTER COUNTY COMMISSIONERS
Doing business as
Eldorado Brookview VFC
Practice address
5752 Rhodesdale-Eldorado Rd
Rhodesdale, MD 21659
Phone
(410) 479-4790
Fax
(410) 479-4793
NPI assigned
Jul 3, 2006
Last updated
Mar 1, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2022

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

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X NONE REQUIED MD Primary

Addresses

Primary practice location

5752 Rhodesdale-Eldorado Rd
Rhodesdale, MD 21659

Mailing address

PO Box 40
Denton, MD 21629-0040
Phone (410) 479-4790

Other identifiers 1

IdentifierTypeStateIssuer
405602700MedicaidMD

Other names 1

  • ELDORADO BROOKVIEW VFC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120110000726 MD Part B Supplier - Ambulance Service Supplier 4981870151 8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Wingate, MD; Vienna, MD; Church Creek, MD; Secretary, MD; Rhodesdale, MD; Fishing Creek, MD; Cambridge, MD; Hurlock, MD

Other NPIs on the same Medicare enrollment 8

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Dorchester County Commissioners4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

954 Cook Point Rd
Cambridge, MD 21613

5752 Eldorado Rd
Rhodesdale, MD 21659
Phone (410) 228-2726

2103 Farm Creek Rd
Wingate, MD 21675
Phone (410) 228-2726

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646092800000",
    "number": "1992734610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40",
            "city": "DENTON",
            "state": "MD",
            "postal_code": "216290040",
            "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": "5752 RHODESDALE-ELDORADO RD",
            "city": "RHODESDALE",
            "state": "MD",
            "postal_code": "21659",
            "telephone_number": "410-479-4790",
            "fax_number": "410-479-4793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DORCHESTER COUNTY COMMISSIONERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2022-03-01",
        "certification_date": "2022-02-28",
        "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 REQUIED",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "405602700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ELDORADO BROOKVIEW VFC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ELDORADO BROOKVIEW VFC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.