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Organization

THE COMMUNITY FIRE COMPANY OF RISING SUN INCORPORATED

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KIMBERLY B. ROLAND (BOARD OF DIRECTORS)
(443) 350-3071
Entity
Organization

Contact information

Practice address
300 BIGGS HWY, RISING SUN, MD 21911-2245
(410) 658-5115
(410) 658-9899
Mailing address
100 W COMMONS BLVD, SUITE 210, NEW CASTLE, DE 19720-2400
(302) 456-5725
(888) 456-3155

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
530902600
MD
01
N861
FEDERAL BLUE SHIELD
MD
01
TR76
CAREFIRST BC/BS
MD
Enumeration date
09/20/2006
Last updated
09/08/2022
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