Healthcare Provider Details

I. General information

NPI: 1083719801
Provider Name (Legal Business Name): AMERICAN MEDICAL RESPONSE MID-ATLANTIC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2006
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6525 WASHINGTON BLVD
ELKRIDGE MD
21075-5533
US

IV. Provider business mailing address

PO BOX 409880
ATLANTA GA
30384-9880
US

V. Phone/Fax

Practice location:
  • Phone: 410-328-1101
  • Fax: 800-498-2527
Mailing address:
  • Phone: 800-913-9106
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: BRIAN SCOTT TIERNEY
Title or Position: EVP, CHIEF FINANCIAL OFFICER
Credential:
Phone: 972-829-8407