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Organization
BOONSBORO AMBULANCE AND RESCUE SERVICE INCORPORATED
Active
Organization
BOONSBORO AMBULANCE AND RESCUE SERVICE INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY J BLICKENSTAFF PARAMEDIC (PRESIDENT)
(301) 432-6979
Entity
Organization
Contact information
Practice address
7619 OLD NATIONAL PIKE, BOONSBORO, MD 21713-2003
(301) 432-6979
(301) 432-2265
Mailing address
7619 OLD NATIONAL PIKE, PO BOX 7, BOONSBORO, MD 21713-2003
(301) 432-6979
(301) 432-2265
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
31077804
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
466518000
—
MD
01
—
DM13
BLUE CROSS BLUE SHIELD
MD
01
—
S1980001
FEDERAL BLUE CROSS
MD
Enumeration date
07/05/2006
Last updated
05/15/2013
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