# KENT ISLAND VOLUNTEER FIRE DEPARTMENT, INC.

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

## Provider details

- **NPI number:** 1467515007
- **Authorized official:** COLLEEN TERESA THOMAS (BILLING COORDINATOR)
- **Authorized official phone:** (410) 490-3015

## Contact information

- **Practice address:** 1610 MAIN ST, CHESTER, MD 21619-2790
- **Practice address phone:** (410) 643-5457
- **Mailing address:** 1610 MAIN ST, CHESTER, MD 21619-2790
- **Mailing address phone:** (410) 643-5454
- **Mailing address fax:** (336) 791-0196

## Taxonomy

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

## Other

- **Enumeration date:** 12/18/2006
- **Last updated:** 10/09/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 211085 | HEALTH AMERICA | MD |
| 05 | — | 401576200 | — | MD |
| 01 | — | F642 | FEDERAL BLUE SHIELD | MD |
| 01 | — | TS03 | CAREFIRST BLUE CROSS | MD |