Organization
KENT ISLAND VOLUNTEER FIRE DEPARTMENT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODY J SCHULZ (PRESIDENT)
(410) 643-5457
Entity
Organization
Contact information
Practice address
1610 MAIN ST, CHESTER, MD 21619-2790
(410) 643-5457
Mailing address
1610 MAIN ST, CHESTER, MD 21619-2790
(410) 643-5457
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
211085
HEALTH AMERICA
MD
05
—
401576200
—
MD
01
—
F642
FEDERAL BLUE SHIELD
MD
01
—
TS03
CAREFIRST BLUE CROSS
MD
Enumeration date
12/18/2006
Last updated
12/09/2014
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