Organization
CRESAPTOWN VOLUNTEER FIRE DEPARTMENT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY L CARTER (BILLING AGENT)
(410) 479-4790
Entity
Organization
Contact information
Practice address
13109 WARRIOR DR, CRESAPTOWN, MD 21502-5602
(410) 479-4790
(410) 479-4793
Mailing address
PO BOX 428, DENTON, MD 21629-0428
(410) 479-4790
(410) 479-4793
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
NONE REQUIRED
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
352928200
—
MD
01
—
590013438
RR MEDICARE
MD
Enumeration date
07/03/2006
Last updated
12/21/2012
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