Healthcare Provider Details

I. General information

NPI: 1164425922
Provider Name (Legal Business Name): TRANSCARE MARYLAND, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2005
Last Update Date: 11/20/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1125 DESOTO RD SUITE A
BALTIMORE MD
21223-3222
US

IV. Provider business mailing address

1 METROTECH CTR 20TH FLOOR
BROOKLYN NY
11201-3949
US

V. Phone/Fax

Practice location:
  • Phone: 410-242-2279
  • Fax: 410-242-9525
Mailing address:
  • Phone: 718-763-8888
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number586916
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number586918
License Number StateMD
# 3
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number586917
License Number StateMD

VIII. Authorized Official

Name: MR. JAMES O'CONNOR
Title or Position: PRESIDENT
Credential:
Phone: 718-510-9080