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GRASONVILLE VOLUNTEER AMBULANCE DEPARTMENT INC. NPI 1720094568


NPI Information

NPI: 1720094568
Provider Name: GRASONVILLE VOLUNTEER AMBULANCE DEPARTMENT, INC.
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 21D0220405

Address:
4132 MAIN ST
GRASONVILLE, MD
ZIP 21638
Phone: (410) 827-7555
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GRASONVILLE VOLUNTEER AMBULANCE DEPARTMENT, INC. is a land transport ambulance in Grasonville, MD. GRASONVILLE VOLUNTEER AMBULANCE DEPARTMENT, INC. NPI is 1720094568. The provider is registered as an organization entity type.

The provider's business location address is:

4132 MAIN ST
GRASONVILLE, MD
ZIP 21638-251
Phone: (410) 827-7555

The provider's authorized official is James R O'donnell .
The authorized official title is President and has the following contact phone number (410) 827-7555.

The CLIA number assigned to this NPI record is 21D0220405 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/1/2006 and was last updated on 5/22/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13416L0300XAmbulanceLand TransportYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1TR46GROTHERMARYLANDCAREFIRST BLUE CROSS
252187279OTHERMARYLANDFEDERAL BLUE SHIELD
328916OTHERMARYLANDHEALTH AMERICA/ASSURANCE
4279400400MEDICAIDMARYLAND
5AM05MEDICARE PINMARYLAND
6590013040MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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