Organization Name: | BOONSBORO AMBULANCE AND RESCUE SERVICE INCORPORATED |
NPI Number: | 1063442739 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARY J BLICKENSTAFF (PRESIDENT) |
Mailing Address: | 7619 Old National Pike Boonsboro |
State: | MD US |
Postal Code: | 217132003 |
Phone Number: | 3014326979 |
Fax Number: | 3014322265 |
NPI Enumeration Date: | 07/05/2006 |
NPI Last Update Date: | 05/15/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | 31077804 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |