Organization
EAST COAST AMBULANCE SERVICE LLC
Active
Other names
East Coast Ambulance
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL JOSEPH ROSELLINI (AUTHORIZED MEMBER)
(410) 663-2012
Entity
Organization
Contact information
Practice address
9505 HARFORD RD, BALTIMORE, MD 21234-3112
(410) 663-2012
(410) 663-2015
Mailing address
9505 HARFORD RD, BALTIMORE, MD 21234-3112
(410) 663-2012
(410) 663-2015
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
000082
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
147509000
OWCP
MD
05
—
300106700
—
MD
01
—
687Q
EMI
MD
01
—
8100047
EVERCARE HEALTH
MD
01
—
R2490001
BC/BS FEDERAL
MD
01
—
TR29
BC/BS BELL ATLANTIC CASCI
MD
Enumeration date
10/07/2005
Last updated
09/25/2015
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