Organization
HWC AMBULANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HARLOW FULLWOOD III (CEO)
(410) 744-6100
Entity
Organization
Contact information
Practice address
2545 LORD BALTIMORE DR, SUITE D, WINDSOR MILL, MD 21244-2672
(410) 744-6100
Mailing address
2545 LORD BALTIMORE DR, SUITE D, WINDSOR MILL, MD 21244-2672
(410) 744-6100
(410) 744-1301
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
115
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
296C
BCBS OF MD
MD
05
—
407765200
—
MD
Enumeration date
06/10/2006
Last updated
08/26/2015
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