Healthcare Provider Details

I. General information

NPI: 1588600126
Provider Name (Legal Business Name): FROSTBURG AREA AMBULANCE SERVICE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/21/2006
Last Update Date: 11/06/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

86 W MAIN ST
FROSTBURG MD
21532-1643
US

IV. Provider business mailing address

PO BOX 549
DENTON MD
21629-0549
US

V. Phone/Fax

Practice location:
  • Phone: 410-479-4790
  • Fax: 410-479-4793
Mailing address:
  • Phone: 410-479-4790
  • Fax: 410-479-4793

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License NumberNONEREQUIRED
License Number StateMD

VIII. Authorized Official

Name: CATHY L CARTER
Title or Position: BILLING AGENT
Credential:
Phone: 410-479-4790