# THE FALLSTON VOLUNTEER FIRE AND AMBULANCE COMPANY, INC.

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

## Provider details

- **NPI number:** 1255458659
- **Authorized official:** CHRISTOPHER M GIBBONS (PRESIDENT)
- **Authorized official phone:** (410) 638-4890

## Contact information

- **Practice address:** 2201 CARRS MILL RD, FALLSTON, MD 21047
- **Practice address phone:** (410) 638-4890
- **Mailing address:** PO BOX 141, FALLSTON, MD 21047-0141
- **Mailing address phone:** (410) 638-4890

## Taxonomy

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

## Other

- **Enumeration date:** 03/23/2007
- **Last updated:** 11/13/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 091102000 | — | MD |
| 01 | — | 389Q | MD MEDICARE | MD |
| 01 | — | Z727TH | CAREFIRST BLUE SHIELD | MD |