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Organization
EAST COAST AMBULANCE SERVICE LLC
Active
Organization
EAST COAST AMBULANCE SERVICE LLC
Active
Other names
East Coast Ambulance
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL JOSEPH ROSELLINI (AUTHORIZED MEMBER)
(410) 663-2012
Entity
Organization
Contact information
Practice address
9505 HARFORD RD, BALTIMORE, MD 21234-3112
(410) 663-2012
(410) 663-2015
Mailing address
9505 HARFORD RD, BALTIMORE, MD 21234-3112
(410) 663-2012
(410) 663-2015
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
000082
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
147509000
OWCP
MD
05
—
300106700
—
MD
01
—
687Q
EMI
MD
01
—
8100047
EVERCARE HEALTH
MD
01
—
R2490001
BC/BS FEDERAL
MD
01
—
TR29
BC/BS BLUE CHOICE
MD
Enumeration date
10/07/2005
Last updated
09/25/2015
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