Healthcare Provider Details

I. General information

NPI: 1972601565
Provider Name (Legal Business Name): THE COMMUNITY FIRE COMPANY OF RISING SUN INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 09/08/2022
Certification Date: 09/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 BIGGS HWY
RISING SUN MD
21911-2245
US

IV. Provider business mailing address

100 W COMMONS BLVD SUITE 210
NEW CASTLE DE
19720-2400
US

V. Phone/Fax

Practice location:
  • Phone: 410-658-5115
  • Fax: 410-658-9899
Mailing address:
  • Phone: 302-456-5725
  • Fax: 888-456-3155

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: KIMBERLY B. ROLAND
Title or Position: BOARD OF DIRECTORS
Credential:
Phone: 443-350-3071