MEDICARE: DORCHESTER COUNTY COMMISSIONERS

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
1	3416L0300X	Land Ambulance

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	G414	OTHER	MD	CAREFIRST BC/BS

General Provider Information

NPI Number	:	1770513186
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DORCHESTER COUNTY COMMISSIONERS

Provider Business Mailing Address
First Line	:	829 FIELDCREST RD
Second Line	:
City	:	CAMBRIDGE
State	:	MD
Zip	:	21613-9423
Country	:	US
Telephone Number	:	410-228-2726
Fax Number	:	410-228-3494

Provider Business Practice Location Address
First Line	:	1902 CHURCH CREEK RD
Second Line	:
City	:	CHURCH CREEK
State	:	MD
Zip	:	21622
Country	:	US
Telephone Number	:	410-228-2726
Fax Number	:	410-228-3494

Authorized Official
Title or Position	:	EMS LIAISON
Name	:	TROI L FAITH
Credential	:
Telephone Number	:	410-228-2726

Provider Enumeration Date	:	07/03/2006
Last Update Date	:	05/11/2020

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