MEDICARE: HYATTSVILLE VOLUNTEER FIRE DEPT

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	341600000X	Ambulance

General Provider Information

NPI Number	:	1700886140
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HYATTSVILLE VOLUNTEER FIRE DEPT

Provider Business Mailing Address
First Line	:	PO BOX 1350
Second Line	:
City	:	HUNTINGTOWN
State	:	MD
Zip	:	20639-1350
Country	:	US
Telephone Number	:	410-414-9207
Fax Number	:	410-414-8396

Provider Business Practice Location Address
First Line	:	6200 BELCREST RD
Second Line	:
City	:	HYATTSVILLE
State	:	MD
Zip	:	20782-2951
Country	:	US
Telephone Number	:	301-927-5770
Fax Number	:	301-699-8947

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. LUKE ALAR
Credential	:
Telephone Number	:	301-927-5770

Provider Enumeration Date	:	07/28/2005
Last Update Date	:	08/22/2020

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