Organization
CECIL COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MAYES (GRANTS & REVENUE ADMINISTRATOR)
(410) 392-2013
Entity
Organization
Contact information
Practice address
107 CHESAPEAKE BLVD STE 108, ELKTON, MD 21921-6390
(410) 392-2012
Mailing address
200 CHESAPEAKE BLVD STE 108, ELKTON, MD 21921-6653
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
—
MD
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122098500
—
MD
Enumeration date
02/22/2008
Last updated
12/01/2025
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