Healthcare Provider Details

I. General information

NPI: 1336251529
Provider Name (Legal Business Name): LOWER SOMERSET AMBULANCE AND RESCUE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 05/09/2025
Certification Date: 05/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 MILL LN
CRISFIELD MD
21817-0406
US

IV. Provider business mailing address

409 PORTER AVE
SCOTTDALE PA
15683-1141
US

V. Phone/Fax

Practice location:
  • Phone: 410-968-2000
  • Fax: 410-968-9588
Mailing address:
  • Phone: 724-887-6822
  • Fax: 724-887-9440

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: GEORGE NELSON
Title or Position: ADMINISTRATOR
Credential:
Phone: 443-523-5654