Healthcare Provider Details

I. General information

NPI: 1508035635
Provider Name (Legal Business Name): CECIL COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2008
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

107 CHESAPEAKE BLVD STE 108
ELKTON MD
21921-6390
US

IV. Provider business mailing address

200 CHESAPEAKE BLVD STE 108
ELKTON MD
21921-6653
US

V. Phone/Fax

Practice location:
  • Phone: 410-392-2012
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code146L00000X
TaxonomyParamedic
License Number
License Number StateMD

VIII. Authorized Official

Name: JOHN MAYES
Title or Position: GRANTS & REVENUE ADMINISTRATOR
Credential:
Phone: 410-392-2013