Organization
NORTHERN GARRETT COUNTY RESCUE SQUAD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHY D KABELL (TREASURER)
(301) 746-8731
Entity
Organization
Contact information
Practice address
124 MILLER STREET, GRANTSVILLE, MD 21536-0293
(301) 895-5520
(301) 746-8991
Mailing address
PO BOX 293, GRANTSVILLE, MD 21536-0293
(301) 895-5520
(301) 746-8991
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0450958
AETNA
MD
01
—
793595MD1
MDIPA
MD
01
—
793595ML1
OPTIMUM CHOICE
MD
01
—
Z551
CAREFIRST
MH
Enumeration date
11/09/2005
Last updated
08/22/2020
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