MEDICARE: KENT AND QUEEN ANNE'S RESCUE SQUAD, 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	343900000X	MD

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	590012064	OTHER	MD	RR MEDICARE

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	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1811991243
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KENT AND QUEEN ANNE'S RESCUE SQUAD, INC.

Provider Business Mailing Address
First Line	:	PO BOX 126
Second Line	:
City	:	CHESTERTOWN
State	:	MD
Zip	:	21620-0126
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	140 MORGNEC RD
Second Line	:
City	:	CHESTERTOWN
State	:	MD
Zip	:	21620
Country	:	US
Telephone Number	:	410-778-4495
Fax Number	:

Authorized Official
Title or Position	:	CHIEF
Name	:	JASON LOBLEY
Credential	:
Telephone Number	:	410-778-4495

Provider Enumeration Date	:	06/13/2005
Last Update Date	:	12/19/2025

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