# EAST COAST AMBULANCE SERVICE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** East Coast Ambulance
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801884507
- **Authorized official:** MR. MICHAEL JOSEPH ROSELLINI (AUTHORIZED MEMBER)
- **Authorized official phone:** (410) 663-2012

## Contact information

- **Practice address:** 9505 HARFORD RD, BALTIMORE, MD 21234-3112
- **Practice address phone:** (410) 663-2012
- **Practice address fax:** (410) 663-2015
- **Mailing address:** 9505 HARFORD RD, BALTIMORE, MD 21234-3112
- **Mailing address phone:** (410) 663-2012
- **Mailing address fax:** (410) 663-2015

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 000082 | MD | Yes |

## Other

- **Enumeration date:** 10/07/2005
- **Last updated:** 09/25/2015

## 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 |