# INDIAN HEAD VOLUNTEER FIRE DEPT AND RESCUE SQUAD, INC.

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

## Provider details

- **NPI number:** 1619640604
- **Authorized official:** LEAH CARTER WATKINS (BILLING AGENT)
- **Authorized official phone:** (410) 479-4790

## Contact information

- **Practice address:** 4095 INDIAN HEAD HWY, INDIAN HEAD, MD 20640-1781
- **Practice address phone:** (301) 743-3900
- **Mailing address:** PO BOX 535, DENTON, MD 21629-0535
- **Mailing address phone:** (410) 479-4790

## Taxonomy

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

## Other

- **Enumeration date:** 07/27/2021
- **Last updated:** 07/27/2021