MEDICARE: RIVERDALE FIRE DEPARTMENT 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
1	3416L0300X	Land Ambulance

General Provider Information

NPI Number	:	1801897798
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RIVERDALE FIRE DEPARTMENT INC

Provider Business Mailing Address
First Line	:	PO BOX 726
Second Line	:
City	:	NEW CUMBERLAND
State	:	PA
Zip	:	17070-0726
Country	:	US
Telephone Number	:	717-214-6018
Fax Number	:	717-214-6020

Provider Business Practice Location Address
First Line	:	4714 QUEENSBURY RD
Second Line	:
City	:	RIVERDALE
State	:	MD
Zip	:	20737-1921
Country	:	US
Telephone Number	:	301-927-0356
Fax Number	:	301-699-3204

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DAVID SUTTON
Credential	:
Telephone Number	:	301-927-0356

Provider Enumeration Date	:	08/02/2005
Last Update Date	:	08/22/2020

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Directions to “RIVERDALE FIRE DEPARTMENT INC ” Practice Location

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