Organization
UNITED COMMUNITIES VOL FIRE DEPT INCORPORATED ROMANCOKE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN R BOSSERT III (PRESIDENT)
(410) 643-1162
Entity
Organization
Contact information
Practice address
9406 ROMANCOKE RD, STEVENSVILLE, MD 21666-3616
(410) 643-1162
(410) 643-1163
Mailing address
9406 ROMANCOKE RD, STEVENSVILLE, MD 21666-3616
(410) 643-1162
(410) 643-1163
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
408124200
—
MD
01
—
920BUN
CAREFIRST BLUE SHIELD
MD
01
—
K600
FEDERAL BLUE SHIELD
MD
Enumeration date
03/23/2007
Last updated
01/24/2013
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