# GARRETT MEDICAL TRANSPORT, INC.

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

## Provider details

- **NPI number:** 1699740415
- **Authorized official:** GARY WILLMON (PRESIDENT)
- **Authorized official phone:** (301) 334-5100

## Contact information

- **Practice address:** 103 SHENANDOAH AVE, OAKLAND, MD 21550-2913
- **Practice address phone:** (301) 334-6405
- **Practice address fax:** (301) 334-6405
- **Mailing address:** PO BOX 728, OAKLAND, MD 21550-4728
- **Mailing address phone:** (301) 334-5100
- **Mailing address fax:** (301) 533-0888

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 40 | MD | Yes |

## Other

- **Enumeration date:** 02/23/2006
- **Last updated:** 11/03/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0145222000 | — | WV |
| 05 | — | 407752100 | — | MD |
| 01 | — | TR36 | BC/MD | — |