Organization
SUDLERSVILLE FIRE COMPANY INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL R FAUST (PRESIDENT)
(410) 438-3155
Entity
Organization
Contact information
Practice address
203 NORTH CHURCH ST., SUDLERSVILLE, MD 21668
(410) 438-3155
Mailing address
PO BOX 61, SUDLERSVILLE, MD 21668-0061
(410) 438-3155
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29776
HEALTH AMERICA
MD
05
—
440900100
—
MD
01
—
TR17SU
CAREFIRST BLUE CROSS
MD
Enumeration date
01/16/2008
Last updated
03/12/2013
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