# CHESAPEAKE MEDICAL TRANSPORT SERVICES LLC

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

## Provider details

- **NPI number:** 1285148346
- **Authorized official:** DONALD DEGRAVES (OWNER)
- **Authorized official phone:** (240) 754-7870

## Contact information

- **Practice address:** 11774 PIKA DR, WALDORF, MD 20602-2777
- **Practice address phone:** (240) 754-7870
- **Practice address fax:** (240) 448-3609
- **Mailing address:** PO BOX 500, MECHANICSVILLE, MD 20659-0500
- **Mailing address phone:** (240) 754-7870
- **Mailing address fax:** (240) 448-3609

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 144 | MD | Yes |

## Other

- **Enumeration date:** 11/28/2017
- **Last updated:** 05/30/2023