MEDICARE: UNITED COMMUNITIES VOL FIRE DEPT INCORPORATED ROMANCOKE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416L0300X	Land Ambulance

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	K600	OTHER	MD	FEDERAL BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	920BUN	OTHER	MD	CAREFIRST BLUE SHIELD

General Provider Information

NPI Number	:	1205953288
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNITED COMMUNITIES VOL FIRE DEPT INCORPORATED ROMANCOKE

Provider Business Mailing Address
First Line	:	9406 ROMANCOKE RD
Second Line	:
City	:	STEVENSVILLE
State	:	MD
Zip	:	21666-3616
Country	:	US
Telephone Number	:	410-643-1162
Fax Number	:	410-643-1163

Provider Business Practice Location Address
First Line	:	9406 ROMANCOKE RD
Second Line	:
City	:	STEVENSVILLE
State	:	MD
Zip	:	21666-3616
Country	:	US
Telephone Number	:	410-643-1162
Fax Number	:	410-643-1163

Authorized Official
Title or Position	:	EMS ASSISTANT CHIEF
Name	:	HEATHER GORSKI
Credential	:
Telephone Number	:	443-262-6275

Provider Enumeration Date	:	03/23/2007
Last Update Date	:	06/02/2026

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Directions to “UNITED COMMUNITIES VOL FIRE DEPT INCORPORATED ROMANCOKE ” Practice Location

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