Healthcare Provider Details

I. General information

NPI: 1427089085
Provider Name (Legal Business Name): SHARPSBURG AREA EMERGENCY MEDICAL SERVICE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/05/2006
Last Update Date: 11/30/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 1/2 W CHAPLINE ST
SHARPSBURG MD
21782
US

IV. Provider business mailing address

PO BOX 307
SHARPSBURG MD
21782-0307
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 Number
License Number State

VIII. Authorized Official

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