=====================================================
General NPI Number Information
=====================================================
NPI Number | 1427221316
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | GREENBELT VOLUNTEER FIRE DEPARTMENT
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/11/2008
-----------------------------------------------------
Last Update Date | 04/11/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 125 CRESCENT RD
-----------------------------------------------------
City | GREENBELT
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 20770-1804
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 410-414-9207
-----------------------------------------------------
Fax | 410-414-8396
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 125 CRESCENT RD
-----------------------------------------------------
City | GREENBELT
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 20770-1804
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 410-414-9207
-----------------------------------------------------
Fax | 410-414-8396
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | BILLING SPECIALIST
-----------------------------------------------------
Name | MS. SHEILA A MANN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 410-414-9207
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3416L0300X
-----------------------------------------------------
Taxonomy Name | Land Ambulance
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------