Organization
MID-MARYLAND MEDICAL TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. M FRANK HEISEY (SECRETARY)
(540) 536-5260
Entity
Organization
Contact information
Practice address
930 ELDRIDGE DR, HAGERSTOWN, MD 21740-6859
(301) 733-6655
(301) 733-4229
Mailing address
PO BOX 1910, WINCHESTER, VA 22604-8060
(866) 553-4220
(540) 536-4359
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015107600
—
MD
01
—
2110905
MAMSI
—
01
—
2473443
AETNA BLUE BELL HMO
—
01
—
385544
TRIGO
—
01
—
590014790
RAILROAD MEDICARE
—
01
—
7667189
AETNA CHOICE
—
05
—
800301700
—
WV
01
—
90142127
VA MEDICAID
—
01
—
TR68MI
BS MARYLAND
—
Enumeration date
09/23/2005
Last updated
07/30/2008
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