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NPI Code Detail

MEDICARE: PROCARE AMBULANCE OF MARYLAND INC

MEDICARE: PROCARE AMBULANCE OF MARYLAND INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13416L0300XLand Ambulance

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1TR75OTHERMDBCBS

General Provider Information

NPI Number : 1407815988
Entity Type Code : Organization
Provider Name (Legal Business Name) : PROCARE AMBULANCE OF MARYLAND INC
Provider Business Mailing Address
First Line : 2037 ROSETTA WAY
Second Line :
City : DAVIDSONVILLE
State : MD
Zip : 21035
Country : US
Telephone Number : 410-823-0030
Fax Number : 410-823-7475
Provider Business Practice Location Address
First Line : 9411 PHILADELPHIA RD STE A
Second Line :
City : ROSEDALE
State : MD
Zip : 21237-4168
Country : US
Telephone Number : 410-823-0030
Fax Number : 410-823-7475
Authorized Official
Title or Position : OWNER
Name : MR. CAMERON AILIFF
Credential :
Telephone Number : 410-823-0030
Provider Enumeration Date : 03/22/2006
Last Update Date : 07/24/2025

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Directions to “PROCARE AMBULANCE OF MARYLAND INC ” Practice Location

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