# HWC AMBULANCE LLC

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

## Provider details

- **NPI number:** 1184665002
- **Authorized official:** MR. HARLOW FULLWOOD III (CEO)
- **Authorized official phone:** (410) 744-6100

## Contact information

- **Practice address:** 2545 LORD BALTIMORE DR, SUITE D, WINDSOR MILL, MD 21244-2672
- **Practice address phone:** (410) 744-6100
- **Mailing address:** 2545 LORD BALTIMORE DR, SUITE D, WINDSOR MILL, MD 21244-2672
- **Mailing address phone:** (410) 744-6100
- **Mailing address fax:** (410) 744-1301

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 115 | MD | Yes |

## Other

- **Enumeration date:** 06/10/2006
- **Last updated:** 08/26/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 296C | BCBS OF MD | MD |
| 05 | — | 407765200 | — | MD |