Organization
HAVRE DE GRACE AMBULANCE CORPS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK HEMLER (PRESIDENT)
(410) 939-6658
Entity
Organization
Contact information
Practice address
1601 LEVEL RD, HAVRE DE GRACE, MD 21078-1727
(410) 939-6658
Mailing address
PO BOX 465, HAVRE DE GRACE, MD 21078-0465
(410) 939-6658
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
099401000
AMERIHEALTH
MD
05
—
485200100
—
MD
01
—
98767
HEALTH AMERICA
MD
01
—
AM11
CAREFIRST BLUE CROSS
MD
01
—
R739
FEDERAL BLUE SHIELD
MD
Enumeration date
12/18/2006
Last updated
05/23/2008
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