# THE COMMUNITY FIRE COMPANY OF RISING SUN INCORPORATED

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

## Provider details

- **NPI number:** 1972601565
- **Authorized official:** KIMBERLY B. ROLAND (BOARD OF DIRECTORS)
- **Authorized official phone:** (443) 350-3071

## Contact information

- **Practice address:** 300 BIGGS HWY, RISING SUN, MD 21911-2245
- **Practice address phone:** (410) 658-5115
- **Practice address fax:** (410) 658-9899
- **Mailing address:** 100 W COMMONS BLVD, SUITE 210, NEW CASTLE, DE 19720-2400
- **Mailing address phone:** (302) 456-5725
- **Mailing address fax:** (888) 456-3155

## Taxonomy

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

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 09/08/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 530902600 | — | MD |
| 01 | — | N861 | FEDERAL BLUE SHIELD | MD |
| 01 | — | TR76 | CAREFIRST BC/BS | MD |