# SUDLERSVILLE FIRE COMPANY INCORPORATED

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

## Provider details

- **NPI number:** 1174709471
- **Authorized official:** MICHAEL R FAUST (PRESIDENT)
- **Authorized official phone:** (410) 438-3155

## Contact information

- **Practice address:** 203 NORTH CHURCH ST., SUDLERSVILLE, MD 21668
- **Practice address phone:** (410) 438-3155
- **Mailing address:** PO BOX 61, SUDLERSVILLE, MD 21668-0061
- **Mailing address phone:** (410) 438-3155

## Taxonomy

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

## Other

- **Enumeration date:** 01/16/2008
- **Last updated:** 03/12/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 29776 | HEALTH AMERICA | MD |
| 05 | — | 440900100 | — | MD |
| 01 | — | TR17SU | CAREFIRST BLUE CROSS | MD |