Organization
THE CHARLES COUNTY MOBILE INTENSIVE CARE UNIT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY LYNN CARTER (BILLING AGENT)
(410) 479-4790
Entity
Organization
Contact information
Practice address
10700 BILLINGSLEY RD, WHITE PLAINS, MD 20695-3075
(301) 638-3915
(410) 479-4793
Mailing address
400 MARKET ST, DENTON, MD 21629-1041
(410) 479-4790
(410) 479-4793
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
Other
Enumeration date
04/04/2019
Last updated
04/04/2019
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