Organization
AMERICAN MEDICAL RESPONSE MID-ATLANTIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD VAN HORNE (COO)
(303) 495-1220
Entity
Organization
Contact information
Practice address
6525 WASHINGTON BLVD, ELKRIDGE, MD 21075-5533
(410) 328-1101
(800) 498-2527
Mailing address
PO BOX 409880, ATLANTA, GA 30384-9880
(303) 495-1748
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
3416L0300X
Land Ambulance
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1073977484
TRICARE NORTH
—
Enumeration date
04/12/2016
Last updated
03/10/2021
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