Healthcare Provider Details

I. General information

NPI: 1144228644
Provider Name (Legal Business Name): POCOMOKE CITY VOLUNTEER AMBULANCE COMPANY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

137 8TH ST
POCOMOKE CITY MD
21851-1128
US

IV. Provider business mailing address

137 8TH ST P.O. BOX 36
POCOMOKE CITY MD
21851-1128
US

V. Phone/Fax

Practice location:
  • Phone: 410-957-3600
  • Fax: 410-957-2221
Mailing address:
  • Phone: 410-957-3600
  • Fax: 410-957-2221

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. EARL DAVID WEBSTER JR.
Title or Position: CAPTAIN
Credential: PARAMEDIC
Phone: 410-957-3600