# GEORGES CREEK AMBULANCE SERVICE INC

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

## Provider details

- **NPI number:** 1780615971
- **Authorized official:** JAMES W DAWSON SR. (AMBULANCE COORDINATOR)
- **Authorized official phone:** (301) 463-2295

## Contact information

- **Practice address:** 19 UNION ST, LONACONING, MD 21539-1137
- **Practice address phone:** (301) 463-2295
- **Practice address fax:** (410) 479-4793
- **Mailing address:** PO BOX 155, LONACONING, MD 21539-0155
- **Mailing address phone:** (301) 463-6122

## Taxonomy

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

## Other

- **Enumeration date:** 07/05/2006
- **Last updated:** 04/12/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 015500400 | — | MD |