Organization
WEST SIDE VOLUNTEER FIRE DEPARTMENT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY LYNN CARTER (BILLING AGENT)
41047974790
Entity
Organization
Contact information
Practice address
21045 NANTICOKE RD, BIVALVE, MD 21814-2041
(410) 479-4790
(410) 479-4793
Mailing address
PO BOX 557, DENTON, MD 21629-0557
(410) 479-4790
(410) 479-4793
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
402010300
—
MD
Enumeration date
07/12/2006
Last updated
02/01/2012
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