# HAVRE DE GRACE AMBULANCE CORPS INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003979444
- **Authorized official:** MARK HEMLER (PRESIDENT)
- **Authorized official phone:** (410) 939-6658

## Contact information

- **Practice address:** 1601 LEVEL RD, HAVRE DE GRACE, MD 21078-1727
- **Practice address phone:** (410) 939-6658
- **Mailing address:** PO BOX 465, HAVRE DE GRACE, MD 21078-0465
- **Mailing address phone:** (410) 939-6658

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | — | NULL | Yes |

## Other

- **Enumeration date:** 12/18/2006
- **Last updated:** 05/23/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 099401000 | AMERIHEALTH | MD |
| 05 | — | 485200100 | — | MD |
| 01 | — | 98767 | HEALTH AMERICA | MD |
| 01 | — | AM11 | CAREFIRST BLUE CROSS | MD |
| 01 | — | R739 | FEDERAL BLUE SHIELD | MD |