MEDICARE: CECILTON VOLUNTEER FIRE CO 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

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

General Provider Information

NPI Number	:	1992784524
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CECILTON VOLUNTEER FIRE CO INC

Provider Business Mailing Address
First Line	:	PO BOX 565
Second Line	:
City	:	CECILTON
State	:	MD
Zip	:	21913-0565
Country	:	US
Telephone Number	:	410-275-8686
Fax Number	:	410-275-9262

Provider Business Practice Location Address
First Line	:	110 E MAIN ST
Second Line	:
City	:	CECILTON
State	:	MD
Zip	:	21913-1001
Country	:	US
Telephone Number	:	410-275-8686
Fax Number	:	410-275-9262

Authorized Official
Title or Position	:	TREASURER
Name	:	CHRISTINA BIGGS
Credential	:
Telephone Number	:	410-275-8686

Provider Enumeration Date	:	01/12/2006
Last Update Date	:	03/26/2014

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